NIKI THERAPY INC
NPI 1528731817
Community/Behavioral Health in Fernandina Beach, FL

Active since August 01, 2021
1416 PARK AVE STE 201, FERNANDINA BEACH, FL 32034(904) 548-6352 Get Directions Write a Review

NPPES record last updated: August 1, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Niki Therapy Inc NPPES

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

NIKI THERAPY INC (NPI 1528731817) is a healthcare organization registered as a community/behavioral health in Fernandina Beach, Florida and active in the NPI registry since August 2021. The organization lists Elizabeth Roberts, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1528731817
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameNIKI THERAPY INC
Location Address1416 PARK AVE STE 201Fernandina Beach, FL 32034-1901
Mailing Address85074 Majestic Walk BlvdFernandina Beach, FL 32034-3872 · (904) 548-6352
Organization SubpartNo
Authorized OfficialElizabeth RobertsCredentialing Specialist · (321) 247-8334
Enumeration DateAugust 1, 2021
NPPES CertifiedAugust 1, 2021
✔ NPI 1528731817 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
1416 PARK AVE STE 201, Fernandina Beach, FL 32034

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Niki Therapy Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Niki Therapy Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1629589437
1416 PARK AVE STE 201
Fernandina Beach, FL 32034
(904) 548-6352
✔ PECOSSame address

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

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 Niki Therapy Inc's NPI number?

The NPI number for Niki Therapy Inc is 1528731817. It was assigned to this organization in the NPPES registry on August 1, 2021.

Where is Niki Therapy Inc located?

Niki Therapy Inc is located at 1416 Park Ave Ste 201, Fernandina Beach, FL 32034. The listed phone number is (904) 548-6352.

What is Niki Therapy Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Is Niki Therapy Inc enrolled in Medicare?

Yes. Niki Therapy Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Niki Therapy Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Niki Therapy Inc. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Niki Therapy Inc was last updated on August 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.