Active NPI
Nickolle Lindo, LMHC, MCAP
- Mental Health Counselor
- Plant City, FL
National Provider Identifier
1972849248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12387
- Practice address
- 1001 E Baker St Ste 100
Plant City, FL 33563-3700 - Phone
- (813) 754-5555
- Fax
- (813) 754-5552
- NPI assigned
- Dec 14, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12387 | FL | Primary |
Addresses
Primary practice location
1001 E Baker St Ste 100
Plant City, FL 33563-3700
Mailing address
1001 E Baker St Ste 100
Plant City, FL 33563-3700
Phone (813) 541-2472
Other practice location 1
2700 Westhall Ln Ste 207
Maitland, FL 32751-7478
Phone (800) 840-2528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH12387 | Other | FL | STATE OF FLORIDA, DEPARTMENT OF HEALTH, LMHC |
| 50360 | Other | FL | FLORIDA CERTIFICATION BOARD, CAP |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12387 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569715200000",
"number": "1972849248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 E BAKER ST STE 100",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335633700",
"telephone_number": "813-541-2472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 E BAKER ST STE 100",
"city": "PLANT CITY",
"state": "FL",
"postal_code": "335633700",
"telephone_number": "813-754-5555",
"fax_number": "813-754-5552"
}
],
"practiceLocations": [
{
"address_1": "2700 Westhall Ln Ste 207",
"address_purpose": "LOCATION",
"city": "Maitland",
"state": "FL",
"postal_code": "327517478",
"country_code": "US",
"telephone_number": "800-840-2528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LINDO",
"first_name": "NICKOLLE",
"credential": "LMHC, MCAP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2019-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12387",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF FLORIDA, DEPARTMENT OF HEALTH, LMHC",
"identifier": "MH12387",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA CERTIFICATION BOARD, CAP",
"identifier": "50360",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plant City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.