Active NPI
Richard Eckler, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1013376169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH13011
- Practice address
- 4804 Sefa Circle N
Jacksonville, FL 32210-1920 - Phone
- (904) 384-4086
- NPI assigned
- Feb 17, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH13011 | FL | Primary |
Addresses
Primary practice location
4804 Sefa Circle N
Jacksonville, FL 32210-1920
Mailing address
4804 Sefa Cir N
Jacksonville, FL 32210-1920
Phone (904) 384-4086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016653100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH13011 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481500800000",
"number": "1013376169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 SEFA CIR N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101920",
"telephone_number": "904-384-4086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4804 SEFA CIRCLE N",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101920",
"telephone_number": "904-384-4086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ECKLER",
"first_name": "RICHARD",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-17",
"last_updated": "2016-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH13011",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016653100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.