MEDICARE: MS. CAROLE NICHOLAS MAYER LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	MH 8389	FL
2	101YM0800X	Mental Health Counselor	MH 8389	FL

General Provider Information

NPI Number	:	1467503839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLE NICHOLAS MAYER LMHC

Provider Business Mailing Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 142
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-888-8113
Fax Number	:	407-851-4357

Provider Business Practice Location Address
First Line	:	6220 S ORANGE BLOSSOM TRL
Second Line	:	SUITE 142
City	:	ORLANDO
State	:	FL
Zip	:	32809-4630
Country	:	US
Telephone Number	:	407-888-8113
Fax Number	:	407-851-4357

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2007
Last Update Date	:	09/11/2025

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