Look up the most recent NPI and PECOS records

Nicole Nonclerc

Counselor

Behavioral Health & Social Service Providers

1134 Bell Shoald Road, Brandon, FL 33511

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Nonclerc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:06 AM.

Profile Details

Provider ID
1356886204
Provider Type
Individual
Full Name
Nonclerc, Nicole
Credential
MS, LMHC, MCAP, NCC

Gender
Female
Sole Proprietor
No
Enumeration Date
1/2/2017
Last Updated
2/8/2021

Contact Information

Practice Location

1134 Bell Shoald Road, Brandon, FL 33511

(813) 315-8648

Unlisted Fax

Mailing Location

1850 Providence Lakes Blvd Apt 816, Brandon, FL 33511-1843

(813) 376-0518

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License MH15132 Florida
Code 101YA0400X	Description Counselor Behavioral Health & Social Service Providers	License CAP 100016 Florida

Provider Identifiers

ID	Description	Issuer
ID 021221300	Description Medicaid	Issuer Unlisted Florida
ID 14031390	Description Other	Issuer CAQH

Nicole Nonclerc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Virankabutra, Pylynn

Wallace, Raychelle Sheryl

Dylan R. Nieves Therapy, Llc

Pecina, Deanna

Burkett, Irene

Ta & Associates, Llc

Obringer, Leah Christine

Chavarro Castillo, Jennifer

Carlisle, Waylon A

Bermudez Alvarez, Cathy Barbara