MS. NICOLLE M BAUER (NPI# 1588642987) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588642987 |
| Entity Type | Individual |
| Full Name | MS. NICOLLE M BAUER |
| Credential | LMHC |
| Practice Address |
2200 N Ponce De Leon Blvd Suite 3 St Augustine FL 32084-2600 |
| Mailing Address |
17 Aviles Dr St Augustine FL 32084-4194 |
| Practice Telephone | 9045018270 |
| Practice Fax Number | 9048195330 |
| Mailing Telephone | 9045018270 |
| Mailing Fax Number | 9048195330 |
| Enumeration Date | 2006-01-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH6243 | FL | Behavioral Health & Social Service Providers |
| Street Address |
2200 N PONCE DE LEON BLVD SUITE 3 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32084-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316473168 | High Power Diagnosis | Clinic/Center | 2200 N Ponce De Leon Blvd, Suite 7, St Augustine, FL 32084-2600 | 2017-05-11 |
| 1982140307 | Nicolle M Bauer Lmhc | Counselor | 2200 N Ponce De Leon Blvd, Ste 3, St Augustine, FL 32084-2600 | 2017-01-09 |
| 1780923623 | Christopher Chase Misso | Massage Therapist | 2200 N Ponce De Leon Blvd, St Augustine, FL 32084-2600 | 2013-02-13 |
| 1780944462 | Tanner Martinez Chiropractic LLC | Chiropractor | 2200 N Ponce De Leon Blvd, Suite 1, St Augustine, FL 32084-2600 | 2012-05-29 |
| 1467744060 | Lorelei Diane Walker | Massage Therapist | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2600 | 2011-05-15 |
| 1790012201 | Dustin James Tanner | Chiropractor | 2200 N Ponce De Leon Blvd, Suite #1, St Augustine, FL 32084-2600 | 2009-11-05 |
| 1154587624 | Jennifer E Jacobsen | Specialist | 2200 N Ponce De Leon Blvd, Suite 12, St Augustine, FL 32084-2600 | 2008-08-04 |
| 1538121488 | Paula Jo Sullivan | Social Worker | 2200 N Ponce De Leon Blvd, Ste. 4, St Augustine, FL 32084-2600 | 2006-04-05 |
| 1497734867 | Amy Louise Mcdermott | Counselor | 2200 N Ponce De Leon Blvd, Suite 3, St Augustine, FL 32084-2600 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295347599 | Cody Martyn | Pharmacist | 955 Fl-16, St. Augustine, FL 32084 | 2020-08-18 |
| 1912562471 | Kjcares Suportive Living Services | Case Manager/Care Coordinator | 20 First Street, Apt 5, St. Augustine, FL 32084 | 2019-05-09 |
| 1558841684 | Kevin D Roberts | Psychologist | 20 First Street Apt 5, St. Augustine, FL 32084 | 2018-08-17 |
| 1568954576 | Gwendolyn Marie Spong | Nurse Practitioner | 2703 N Ponce De Leon Blvd., Minute Clinic #3591, Area 4, Region 46, St. Augustine, FL 32084 | 2018-06-05 |
| 1770940116 | Marian L. Turner-sharpton, Lcsw | Social Worker | 17 Pacific St., Suite 2 (growth Pointe), St. Augustine, FL 32084 | 2016-01-15 |
| 1710358932 | Florida Laboratory Analysis, LLC | Clinical Medical Laboratory | 1690 Us Highway 1 S Ste D, St Augustine, FL 32084 | 2015-10-14 |
| 1780064774 | J Mae Transportation | Non-emergency Medical Transport (VAN) | 28 N Whitney St Apt 404, St Augustine, FL 32084 | 2015-06-04 |
| 1497154520 | Suzanne Smith Weed | Nurse Practitioner | 32 Mulberry Street, Saint Augustine, FL 32084 | 2014-08-14 |
| 1447684469 | Rachel Moran | Counselor | 162 Oneida Street, St. Augustine, FL 32084 | 2013-08-27 |
| 1932545993 | Matrix Medical, LLC | Durable Medical Equipment & Medical Supplies | 56 S Dixie Hwy Ste 1, St Augustine, FL 32084 | 2013-05-17 |
| Find all providers in zip 32084 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053877662 | Linda Michele Turner | Counselor | 121 Midway Park Dr, St Augustine, FL 32084-6624 | 2019-02-19 |
| 1730651977 | Michael A Malone | Counselor | 1217 Springhealth Ct, St Augustine, FL 32092-2460 | 2018-12-28 |
| 1790260727 | Molly Giannotta | Counselor | 4475 Us 1 S Ste 603, St Augustine, FL 32086-7282 | 2018-09-25 |
| 1346734514 | Hayne Addison Steen | Counselor | 38 S Dixie Hwy, St Augustine, FL 32084-0313 | 2018-06-20 |
| 1558733311 | Logan Jones Sincavage | Counselor | 143 Old Field Ln, St Augustine, FL 32092-1928 | 2015-10-20 |
| 1417378571 | Laura Bowman Pamer | Counselor | 2225 A1a S Ste B, St Augustine, FL 32080-2916 | 2013-12-16 |
| 1598195612 | Emili-erin Elizabeth Alexander | Counselor | 155 San Marco Ave, St Augustine, FL 32084-3268 | 2013-11-27 |
| 1982978565 | Amanda Woodman Swartzlender | Counselor | 631 Market St, St Augustine, FL 32095-8892 | 2012-02-29 |
| 1568749620 | Rebecca A Mcquaig | Counselor | 109 Nature Walk Pkwy Unit 104, St Augustine, FL 32092-5065 | 2011-11-03 |
| 1659658748 | Larry Charles Sargent | Counselor | 167 Palencia Village Dr Ste 101, St Augustine, FL 32095-8450 | 2011-11-03 |
| Find all providers in ST AUGUSTINE | ||||
| City | ST AUGUSTINE |
| Zip Code | 32084 |
Please comment or provide details below to improve the information on MS. NICOLLE M BAUER.
| 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.