Active NPI
Migdalia Q Lemarque, LMHC, IMT
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1073740312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9791
- Practice address
- 9951 Atlantic Blvd
Suite 317-1
Jacksonville, FL 32225-6584 - Phone
- (904) 722-8077
- Fax
- (904) 722-8077
- NPI assigned
- Jun 14, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9791 | FL | Primary |
| Marriage & Family Therapist | 106H00000X | IMT1041 | FL |
Addresses
Primary practice location
9951 Atlantic Blvd
Suite 317-1
Jacksonville, FL 32225-6584
Mailing address
12301 Apple Leaf Dr
Jacksonville, FL 32224-6631
Phone (904) 535-4243
Other names 1
- Ms. 'Mindy' Lemarque
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 |
|---|---|---|---|
| MH9791 | FL | MD | Mental Health Counselor |
| IMT1041 | FL | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1245024000000",
"number": "1073740312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 APPLE LEAF DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322246631",
"telephone_number": "904-535-4243",
"fax_number": "904-998-8242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9951 ATLANTIC BLVD",
"address_2": "SUITE 317-1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322256584",
"telephone_number": "904-722-8077",
"fax_number": "904-722-8077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEMARQUE",
"first_name": "MIGDALIA",
"middle_name": "Q",
"name_prefix": "Mrs.",
"credential": "LMHC, IMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-06-14",
"last_updated": "2009-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9791",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT1041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "'MINDY'",
"last_name": "LEMARQUE",
"prefix": "MS.",
"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 Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.