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

Nicole Clinkscale

Individual provider Mental Health Counselor · NPI 1629621495

Nicole Clinkscale is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2019, 7 years ago. Registered with an NPI since 2019.

Years since qualifying
7
In the registry since
2019
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1200 Riverplace Blvd Ste 105
Jacksonville, FL 32207-9092
Phone: (904) 720-5689
Fax: (904) 895-6212
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1629621495
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2019
Last updated in NPPESOctober 4, 2025
Certification dateOctober 4, 2025

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Jacksonville