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

Active since September 09, 2025PECOS EnrolledAccepts Medicare Assignment
1536 SUNRISE PLAZA DR STE 100, CLERMONT, FL 34714(407) 488-4892(863) 582-9993 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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, maintains a secondary practice location in Davenport, and is a graduate of Other (2023).

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
Medical School CMSOtherGraduated 2023
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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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 and accepts Medicare assignment

Mrs. Jill Michelle Nichols Lmft, Ma, Bs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375034242
PECOS Enrollment IDI20251118004483
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 Reassignments

2

Medicare enrollment records show Jill Nichols reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Grow Healthcare Group PA
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group
NPI 1245845932 (786) 244-7711
Nejame Psychological Services LLC
Clinical
266 THORNE MEADOW PASS
Davenport, FL 33897
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1326588914 (407) 721-1512

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 5

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

ABIGAIL EVANS NP
Nurse Practitioner (Psychiatric/Mental Health)
1536 SUNRISE PLAZA DR STE 100
CLERMONT, FL 34714
Lake County (321) 326-7516
CINDY MAUZOUL JEAN-PIERRE NP
Nurse Practitioner (Psychiatric/Mental Health)
1536 SUNRISE PLAZA DR STE 100
CLERMONT, FL 34714
Lake County (509) 931-1338
JOHN RICHARD SAYERS LMFT
Marriage & Family Therapist
1536 SUNRISE PLAZA DR STE 100
CLERMONT, FL 34714
Lake County (407) 488-4892
MARY LUCINDA WILSON LMHC, NCC, CCMHC
Counselor (Mental Health)
1536 SUNRISE PLAZA DR STE 100
CLERMONT, FL 34714
Lake County (407) 502-8011
MRS. HOLLY JEAN CHRISTIAN GIBBONS MA, LMHC
Counselor (Mental Health)
1536 SUNRISE PLAZA DR STE 100
CLERMONT, FL 34714
Lake County (407) 488-4892

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 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.

Where is Jill Nichols located?

Jill Nichols practices at 1536 Sunrise Plaza Dr Ste 100, Clermont, FL 34714. The listed phone number is (407) 488-4892.

What is Jill Nichols's specialty?

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

Is Jill Nichols enrolled in Medicare?

Yes. Jill Nichols is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jill Nichols's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jill Nichols reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Nejame Psychological Services LLC (Davenport, FL). Each 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 Jill Nichols's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jill Nichols accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jill Nichols 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 Jill Nichols was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.