Active NPI
Meleecia Tucker, LMHC
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7573
- Practice address
- 4417 Beach Blvd Ste 101
Jacksonville, FL 32207-4728 - Phone
- (904) 551-4953
- Fax
- (904) 212-2366
- NPI assigned
- Jan 9, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH7573 | FL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2805 | FL |
Addresses
Primary practice location
4417 Beach Blvd Ste 101
Jacksonville, FL 32207-4728
Mailing address
3636 University Blvd S Ste A9
Jacksonville, FL 32216-4209
Phone (904) 536-4415
Other names 1
- Mrs. Meleecia McCoy
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
4417 Beach Blvd
Suite 101
Jacksonville, FL 32207-4728
Phone (904) 551-4953
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2805 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH7573 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| New Life Counseling and Educational Services | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| New Life Counseling and Educational Services | Current | Accepting new patients | |
| New Life Counseling and Educational Services Multipurpose Center Inc | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Locations
4417 Beach Blvd
Ste 101
Jacksonville, FL 32207
Phone (904) 551-4953
4124 Boulevard Center Dr
Jacksonville, FL 32207
3636 University Blvd S
Ste A9
Jacksonville, FL 32216
Phone (904) 551-4953
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1699319491
Addiction (Substance Use Disorder)
-
- Case Management Agency
- Jacksonville, FL
- NPI 1760175525
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1205529229
Addiction (Substance Use Disorder)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701648000000",
"number": "1043632102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3636 UNIVERSITY BLVD S STE A9",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164209",
"telephone_number": "904-536-4415",
"fax_number": "904-575-4162"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4417 BEACH BLVD STE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322074728",
"telephone_number": "904-551-4953",
"fax_number": "904-212-2366"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "MELEECIA",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2023-12-04",
"certification_date": "2023-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7573",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "2805",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MELEECIA",
"last_name": "MCCOY",
"prefix": "MRS.",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}
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 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.