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

Nicole Mateo, LPC-S

Individual provider Professional Counselor · NPI 1821272808

Nicole Mateo, LPC-S is a Mental Health Counselor in Palm Coast, Florida. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Florida and Texas.

Years since qualifying
22
Licensed in
FL, TX
In the registry since
2007
Specialties on file
2

Practice location Address checks out

9 Old Kings Rd N # 1193
Palm Coast, FL 32137-4603
Phone: (386) 576-2570
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 68091 (TX)
Professional Counselor Taxonomy 101YP2500X · Licence IMH6096 (FL)

Record details

NPI number1821272808
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC-S
Sole proprietorYes
NPI enumeratedDecember 26, 2007
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026
Mailing address9 Old Kings Rd N # 1193, Palm Coast, FL 32137-4603

Medicare enrollment

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

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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