SAMANTHA NICHOLSON
NPI 1992161087
Counselor - Mental Health in Jacksonville, FL

Q: What is Samantha Nicholson's NPI number?

The NPI number for Samantha Nicholson is 1992161087. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Q: What is Samantha Nicholson's specialty?

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

Active since January 06, 2016

9480 PRINCETON SQUARE BLVD S, APR 2411, JACKSONVILLE, FL 32256(347) 645-7798 Get Directions Write a Review

NPPES record last updated: February 25, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 25, 2022, Oct 3, 2019 (2 updates tracked since 2019).

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About Samantha Nicholson NPPES

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

SAMANTHA NICHOLSON (NPI 1992161087) is an individual mental health provider in Jacksonville, Florida and active in the NPI registry since January 2016.

NPPES Registry Identity

NPI1992161087

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameSAMANTHA NICHOLSON

Location Address9480 PRINCETON SQUARE BLVD S, APR 2411Jacksonville, FL 32256-0302

Mailing Address4518 Cape Elizabeth Ct E # RJacksonville, FL 32277-3217 · (347) 645-7798

Phone(347) 645-7798

Sole ProprietorNo

Enumeration DateJanuary 6, 2016

Last NPPES UpdateFebruary 25, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 25, 2022

✔ NPI 1992161087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedSocial WorkerTaxonomy 104100000X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 10090 (FL)

9480 PRINCETON SQUARE BLVD S, Jacksonville, FL 32256

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

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 Samantha Nicholson's NPI number?

The NPI number for Samantha Nicholson is 1992161087. It was assigned to this individual provider in the NPPES registry on January 6, 2016.

Where is Samantha Nicholson located?

Samantha Nicholson practices at 9480 Princeton Square Blvd S Apr 2411, Jacksonville, FL 32256. The listed phone number is (347) 645-7798.

What is Samantha Nicholson's specialty?

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

What insurance does Samantha Nicholson accept?

Health plans from Molina Healthcare list Samantha Nicholson 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 Samantha Nicholson was last updated on February 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.