Individual provider Active NPI

Emerita M Stone

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1063257129
Registry record updated Jun 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25594 Issued in FL
Practice address
1904 Farragut PL
Jacksonville, FL 32207-3420
Phone
(904) 503-0131
NPI assigned
Jun 28, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2024

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 IMH25594 FL Primary

Addresses

Primary practice location

1904 Farragut PL
Jacksonville, FL 32207-3420

Mailing address

3354 Antigua Dr
Jacksonville Beach, FL 32250-3930
Phone (954) 270-7938

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

LicenseStateTypeSpecialty
IMH25594FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Tsi Health, LLC Mental Health CurrentSince Jun 30, 2024 Accepting new patients
Tsi Health, LLC Mental Health CurrentSince Jun 30, 2024 Accepting new patients

Locations

1904 Farragut Pl
Jacksonville, FL 32207
Phone (904) 401-9320

Organizations & group practices 2

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": "1719532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719532800000",
    "number": "1063257129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3354 ANTIGUA DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503930",
            "telephone_number": "954-270-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FARRAGUT PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073420",
            "telephone_number": "904-503-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "EMERITA",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25594",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.