NICOLE NONCLERC (NPI# 1356886204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356886204 |
| Entity Type | Individual |
| Full Name | NICOLE NONCLERC |
| Other Name | NICOLE BRENNEMAN |
| Credential | MS, LMHC, MCAP, NCC |
| Practice Address |
421 Lithia Pinecrest Rd Brandon FL 33511-6138 |
| Mailing Address |
3215 W Santiago St Tampa FL 33629-7145 |
| Practice Telephone | 8133158648 |
| Mailing Telephone | 8133760518 |
| Enumeration Date | 2017-01-02 |
| Last Update Date | 2020-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAP 100016 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH15132 | FL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CAQH | 14031390 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1001 E Baker St, Suite 100, Plant City, FL 335633700 | 8137545555 |
| Street Address |
421 LITHIA PINECREST RD |
| City | BRANDON |
| State | FL |
| Zip Code | 33511-6138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194702845 | Charles Mark Preuett | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2005-12-23 |
| 1700428034 | Roberta S Higginbotham | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2019-10-08 |
| 1912465386 | Kelly Caleb | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2019-03-05 |
| 1083128573 | Chloe Jean | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2017-11-20 |
| 1396258174 | Elmira Ruiz | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2017-11-15 |
| 1912392010 | Reta Passwaters Martin | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2015-04-06 |
| 1992134613 | Kara Daniels Sutter | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2013-11-04 |
| 1467701136 | Shaana D Wilson | Counselor | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6139 | 2012-09-10 |
| 1891056008 | Lisa Wolanzyk | Social Worker | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2012-06-04 |
| 1477871200 | Tiffany Marie Gerling | Counselor | 421 Lithia Pinecrest Rd, Brandon, FL 33511-6138 | 2010-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295367555 | Ability Beyond Measures LLC. | Clinic/Center | 2705 Isabella Valley Court, Brandon, FL 33511 | 2020-02-05 |
| 1831744655 | Brandon Modern Dentistry, Pa | Dentist | 971 E. Bloomingdale Avenue, Brandon, FL 33511 | 2019-08-08 |
| 1487208922 | Heart and Vascular Center of Brandon, Pllc | Internal Medicine | 511 Medical Oaks Ave., Brandon, FL 33511 | 2019-08-01 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1043779713 | Cheryl Diane Hart | Nurse Practitioner | 888 S Parsons Ave., Brandon, FL 33511 | 2019-03-13 |
| 1306303177 | Paula J Buchwald | Nurse Practitioner | 888 S. Parsons Ave, Brandon, FL 33511 | 2019-02-27 |
| 1063993996 | Ashlee Marie Shevchenko | Speech-Language Pathologist | 602 Vondeburg Dr, Suite 201, Brandon, FL 33511 | 2018-08-28 |
| 1275023012 | Ava Cares, LLC | Assisted Living Facility | 3005 Bell Shoals Rd., Brandon, FL 33511 | 2018-05-17 |
| 1346738705 | Tampa Psychology Group | Psychologist | 1463 Oakfield Dr Ste 109, Brandon, FL 33511 | 2018-05-01 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| Find all providers in zip 33511 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306472493 | Dbt Counseling Specialties LLC | Counselor | 1219 Millennium Pkwy Ste 138, Brandon, FL 33511-3896 | 2020-03-20 |
| 1538712476 | Jeannette G Alcantara | Counselor | 138 E Bloomingdale Ave Ste 1, Brandon, FL 33511-8101 | 2019-07-19 |
| 1841842895 | Rebecca Harrelson | Counselor | 915 Oakfield Drive, Suite E, Brandon, FL 33511 | 2019-07-10 |
| 1841842978 | Vita Serenity Counseling LLC | Counselor | 855 E Brandon Blvd Ste C, Brandon, FL 33511-5418 | 2019-07-09 |
| 1386129062 | Katrina Ausley | Counselor | 219 Cook St, Brandon, FL 33511-5216 | 2018-09-28 |
| 1578043899 | Taryn Xenia Temmer | Counselor | 2432 Middleton Grove Dr, Brandon, FL 33511-4775 | 2018-08-16 |
| 1760982987 | Suresh Lama Tamang | Counselor | 510 Vonderburg Dr, Suite# 301, Brandon, FL 33511 | 2018-02-14 |
| 1821510736 | Aliyyah Nailing-yamini | Counselor | 126 Lithia Pinecrest Road, Brandon, FL 33511 | 2017-07-12 |
| 1346779451 | Priscilla Rima | Counselor | 1463 Oakfield Drive, Ste 134, Brandon, FL 33511 | 2017-06-12 |
| 1124491105 | Philip J Fauerbach, Lmhc | Counselor | 915 S Parsons Ave # C, Brandon, FL 33511-6008 | 2015-11-12 |
| Find all providers in BRANDON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.