Individual provider Active NPI

Erin Michelle Reidy, M.A.

  • Mental Health Counselor
  • Orlando, FL
National Provider Identifier
1023493186
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14497 Issued in FL
Practice address
734 Irma Ave
Orlando, FL 32803-3853
Phone
(407) 697-9470
NPI assigned
Jul 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14497 FL Primary

Addresses

Primary practice location

734 Irma Ave
Orlando, FL 32803-3853

Mailing address

734 Irma Ave
Orlando, FL 32803-3853
Phone (407) 697-9470

Other names 1

  • Erin Nurse Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116001352 FL Practitioner - Mental Health Counselor 1052768850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montesinos Counseling Services, LLCGroup PAC ID 3072036755, 2 clinicians

Practice addresses (Care Compare)

4720 Salisbury Rd
Suite 242
Jacksonville, FL 32256-6101
Phone (904) 701-4662

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Montesinos Counseling Services, LLC Mental Health CurrentSince Mar 15, 2025 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients
Compass Counseling Services, LLC PastSince Apr 14, 2024 Accepting new patients

Locations

7545 Centurion Pkwy
Ste 106
Jacksonville, FL 32256
Phone (904) 701-4662

4720 Salisbury Rd
Jacksonville, FL 32256
Phone (866) 932-2777

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1023493186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 IRMA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033853",
            "telephone_number": "407-697-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 IRMA AVE",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033853",
            "telephone_number": "407-697-9470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIDY",
        "first_name": "ERIN",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-29",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "NURSE",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.