Individual provider Active NPI

Joshua T Messer, CAP, ICADC

  • Addiction (Substance Use Disorder) Counselor
  • Lake City, FL
National Provider Identifier
1083109185
Registry record updated Dec 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1206 SW Main Blvd Ste 103
Lake City, FL 32025-6603
Phone
(386) 487-9979
Fax
(386) 487-9979
NPI assigned
Jun 30, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1206 SW Main Blvd Ste 103
Lake City, FL 32025-6603

Mailing address

14002 County Road 49
Live Oak, FL 32060-7372
Phone (386) 438-9145

Other practice location 1

439 SW Michigan St
Lake City, FL 32025-0440
Phone (352) 374-5600

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

Practice roles

OrganizationSpecialtyStatusNew patients
Evergreen Behavioral Health Inc. Addiction (Substance Use Disorder) CurrentSince Dec 31, 2023 Accepting new patients
Meridian Behavioral Healthcare PastSince Jan 1, 2020 Accepting new patients
Meridian Behavioral Healthcare, Inc. PastSince Jan 1, 2020 Accepting new patients

Locations

1206 SW Main Blvd
Ste 103
Lake City, FL 32025
Phone (386) 719-2500

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": "1530316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703721600000",
    "number": "1083109185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14002 COUNTY ROAD 49",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320607372",
            "telephone_number": "386-438-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 SW MAIN BLVD STE 103",
            "city": "LAKE CITY",
            "state": "FL",
            "postal_code": "320256603",
            "telephone_number": "386-487-9979",
            "fax_number": "386-487-9979"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "439 SW Michigan St",
            "address_purpose": "LOCATION",
            "city": "Lake City",
            "state": "FL",
            "postal_code": "320250440",
            "country_code": "US",
            "telephone_number": "352-374-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESSER",
        "first_name": "JOSHUA",
        "middle_name": "T",
        "credential": "CAP, ICADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-30",
        "last_updated": "2023-12-28",
        "certification_date": "2023-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2023; 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.