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MRS. NICOLE THEILER M.A.
NPI 1578991154
Counselor - Mental Health in Ponte Vedra Beach, FL

Active since October 17, 2013
171 CANAL BLVD, PONTE VEDRA BEACH, FL 32082(904) 834-7581(904) 834-7559 Get Directions Write a Review

NPPES record last updated: October 23, 2019. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 23, 2019, Aug 12, 2019 (2 updates tracked since 2019).

About Mrs. Nicole Theiler M.a. NPPES

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

MRS. NICOLE THEILER M.A. (NPI 1578991154) is an individual mental health provider in Ponte Vedra Beach, Florida, licensed in Florida (MH16110) and active in the NPI registry since October 2013. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578991154
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. NICOLE THEILERCredential: M.A.
Location Address171 CANAL BLVDPonte Vedra Beach, FL 32082
Mailing Address171 Canal BlvdPonte Vedra Beach, FL 32082-3607 · (904) 834-7581
Phone(904) 834-7581
Fax(904) 834-7559
Sole ProprietorYes
Enumeration DateOctober 17, 2013
Last NPPES UpdateOctober 23, 20192 updates tracked since enumeration
✔ NPI 1578991154 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH16110
Also ListedBehavior TechnicianTaxonomy 106S00000X
171 CANAL BLVD, Ponte Vedra Beach, FL 32082
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Secondary Practice Locations 2

Location 1171 Canal BlvdPonte Vedra Beach, FL 32082 · Phone (904) 834-7581 · Fax (904) 834-7559
Location 26867 Southpoint Dr NJacksonville, FL 32216-8043 · Phone (904) 619-6071

Other Providers at the Same Location NPPES 12

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

MANDALA FAMILY WELLNESS LLC
Occupational Therapist
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-7581
KIERSTYN DIAN SELIG
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-7581
MADELEINE GAIL CLYMER RBT
Behavior Technician
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 900-1439
MERCEDES TRIMBLE B.S., M.ED
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA, FL 32082
St. Johns County (904) 834-7581
MS. ALLIE MARIE ROBERTSON M.A., BCBA
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 647-1849
ALEXANDRA LINDSAY HAHN
Behavior Technician
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-7581
MANDALA FAMILY WELLNESS LLC
Psychologist
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 608-0782
AMBER LEIGH SMITH
Behavior Analyst
171 CANAL BLVD
PONTE VEDRA BEACH, FL 32082
St. Johns County (904) 834-7581

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 Theiler's NPI number?

The NPI number for Nicole Theiler is 1578991154. It was assigned to this individual provider in the NPPES registry on October 17, 2013.

Where is Nicole Theiler located?

Nicole Theiler practices at 171 Canal Blvd, Ponte Vedra Beach, FL 32082. The listed phone number is (904) 834-7581.

What is Nicole Theiler's specialty?

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

When was this NPI record last updated?

The NPPES record for Nicole Theiler was last updated on October 23, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.