MRS. JILL MICHELLE NICHOLS LMFT, MA, BS - NPI 1922989821 - Marriage & Family Therapist in Clermont, FL

Q: What is Jill Nichols's NPI number?

The NPI number for Jill Nichols is 1922989821. It was assigned to this individual provider in the NPPES registry on September 9, 2025.

Q: What is Jill Nichols's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Nichols was last updated on September 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Jill Michelle Nichols Lmft, Ma, Bs NPPES

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

MRS. JILL MICHELLE NICHOLS LMFT, MA, BS (NPI 1922989821) is an individual marriage & family therapist in Clermont, Florida, licensed in Florida (MT5308) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Davenport.

NPPES Registry Identity

NPI1922989821

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMRS. JILL MICHELLE NICHOLSCredential: LMFT, MA, BS

Location Address1536 SUNRISE PLAZA DR STE 100Clermont, FL 34714-6204

Mailing Address1109 Cypress Pointe BlvdDavenport, FL 33896-3503 · (402) 227-5095

Phone(407) 488-4892

Fax(863) 582-9993

Sole ProprietorYes

Enumeration DateSeptember 9, 2025

NPPES CertifiedSeptember 9, 2025

✔ NPI 1922989821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in FL · MT5308

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Secondary Practice Location 1

Location 11109 Cypress Pointe BlvdDavenport, FL 33896-3503 · Phone (402) 227-5095

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Jill Michelle Nichols Lmft, Ma, Bs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

MARY LUCINDA WILSON LMHC, NCC, CCMHC

Counselor (Mental Health)