Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Nicole Marie De la Torre Salas, LMHC

Individual provider Mental Health Counselor · NPI 1710484258

Miss. Nicole Marie De la Torre Salas, LMHC is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2015, 11 years ago. Works from 2 locations. Licensed in Florida.

Years since qualifying
11
Licensed in
FL
In the registry since
2018
What do these letters mean?
LMHC — Licensed Mental Health Counselor
A licensed mental health counsellor; the title used in Florida, New York and Washington among others.

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Practice location Address checks out

4595 Lexington Ave Fl 32210
Jacksonville, FL 32210-2058
Phone: (904) 448-4700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1532 Kingsley Ave Ste 112-114, Orange Park, FL 32073-4538 — (904) 214-3222

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH23301 (FL)

Record details

NPI number1710484258
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMHC
Sole proprietorNo
NPI enumeratedApril 11, 2018
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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