1. Home
  2. Directory
  3. Florida
  4. Jacksonville
  5. Counselor
  6. NPI Profile

NICOLE EVANS
NPI 1326613431
Counselor - Mental Health in Jacksonville, FL

Active since May 21, 2021PECOS Enrolled
1110 EDGEWOOD AVE W, JACKSONVILLE, FL 32208(904) 448-4700 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 12, 2024, May 21, 2021 (2 updates tracked since 2021).

About Nicole Evans NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NICOLE EVANS (NPI 1326613431) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1326613431
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameNICOLE EVANS
Location Address1110 EDGEWOOD AVE WJacksonville, FL 32208-6405
Mailing Address5503 Carrera PlJacksonville, FL 32277-1435 · (321) 795-3503
Phone(904) 448-4700
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 21, 2021
Last NPPES UpdateJune 12, 20242 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1326613431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1110 EDGEWOOD AVE W, Jacksonville, FL 32208
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Evans is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9335630219
PECOS Enrollment IDI20251118005125
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Nicole Evans reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gateway Community Services, Inc.
4.9 mi
Community/Behavioral Health
555 STOCKTON ST
Jacksonville, FL 32204
  • Reassigned Medicare billing, Florida enrollment
  • 18 clinicians in this Medicare group
NPI 1356305338 (904) 387-4661

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEANNE M PEEL MS, LMFT
Marriage & Family Therapist
1110 EDGEWOOD AVE W, CHILD GUIDANCE CENTER, INC
JACKSONVILLE, FL 32208
Duval County (904) 924-1550
KRISTIN VAN BEVER
Counselor (Mental Health)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 448-4700
ASHLEY LOVEALL
Social Worker (Clinical)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 448-4700
STACY DELANO
Counselor (Mental Health)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 448-4700
MRS. FREDA HODGES M.S.W.
Counselor (Mental Health)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 924-1550
MRS. DIANNE LYNN KERSH MSW
Counselor
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 924-1550
DR. DEWYNA ROBINSON LCSW,PHD.
Social Worker (Clinical)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 448-4700
MS. AYESHA SUSAN PILLAI M.S.
Counselor (Mental Health)
1110 EDGEWOOD AVE W
JACKSONVILLE, FL 32208
Duval County (904) 924-1550

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Evans's NPI number?

The NPI number for Nicole Evans is 1326613431. It was assigned to this individual provider in the NPPES registry on May 21, 2021.

Where is Nicole Evans located?

Nicole Evans practices at 1110 Edgewood Ave W, Jacksonville, FL 32208. The listed phone number is (904) 448-4700.

What is Nicole Evans's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Nicole Evans enrolled in Medicare?

Yes. Nicole Evans is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Evans's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Evans reassigns Medicare benefits to Gateway Community Services, Inc. (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Evans's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Evans accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nicole Evans as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Evans was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.