Active NPI
Maria Adamma Adigweme, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1013921238
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 5542
- Practice address
- 9521 Shellie Rd
Suite 15
Jacksonville, FL 32257-6167 - Phone
- (904) 619-3010
- Fax
- (904) 619-3233
- NPI assigned
- Jul 27, 2006
- Last updated
- Jan 19, 2009
- Sex
- Female
- 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 | MH 5542 | FL | Primary |
Addresses
Primary practice location
9521 Shellie Rd
Suite 15
Jacksonville, FL 32257-6167
Mailing address
9521 Shellie Rd
Suite 15
Jacksonville, FL 32257-6167
Phone (904) 619-3010
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z1092 | Other | FL | BC/BS |
| 7288248 | Other | FL | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 16, 2026 through Jan 16, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 5542 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Counseling & Consulting Services, Inc. | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1609172337
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232323200000",
"number": "1013921238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9521 SHELLIE RD",
"address_2": "SUITE 15",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576167",
"telephone_number": "904-619-3010",
"fax_number": "904-619-3233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9521 SHELLIE RD",
"address_2": "SUITE 15",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322576167",
"telephone_number": "904-619-3010",
"fax_number": "904-619-3233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADIGWEME",
"first_name": "MARIA",
"middle_name": "ADAMMA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2009-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 5542",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "Z1092",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7288248",
"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 Jan 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.