Active NPI
Christine Monahan Ventresca, LMHC
- Mental Health Counselor
- Ponte Vedra Beach, FL
National Provider Identifier
1053944389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17026
- Practice address
- 400 Colonnade Dr Ste 230
Ponte Vedra Beach, FL 32081-6236 - Phone
- (904) 376-3800
- NPI assigned
- Feb 14, 2020
- Sex
- Female
- Sole proprietor
- No
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 | MH17026 | FL | Primary |
Addresses
Primary practice location
400 Colonnade Dr Ste 230
Ponte Vedra Beach, FL 32081-6236
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
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 |
|---|---|---|---|
| MH17026 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1053944389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 COLONNADE DR STE 230",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320816236",
"telephone_number": "904-376-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VENTRESCA",
"first_name": "CHRISTINE",
"middle_name": "MONAHAN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-14",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ponte Vedra Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.