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

Dr. Nelson Vicioso

Individual provider Mental Health Counselor · NPI 1164749446

Dr. Nelson Vicioso is a Mental Health Counselor in Pembroke Pines, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2010
Specialties on file
2

Practice location Address checks out

17901 NW 5th St Ste 103
Pembroke Pines, FL 33029-2810
Phone: (305) 829-3272
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 50263 (FL)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 50263 (FL)

Record details

NPI number1164749446
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 27, 2010
Last updated in NPPESApril 27, 2010

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