Individual provider Active NPI

Hannah Mayderry, RMHCI

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1104560275
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
7643 Gate Parkway
Suite 104-1475
Jacksonville, FL 32256-2893
Phone
(407) 863-2774
NPI assigned
Apr 25, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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 NU Primary

Addresses

Primary practice location

7643 Gate Parkway
Suite 104-1475
Jacksonville, FL 32256-2893

Mailing address

7643 Gate Parkway
Suite 104-1475
Jacksonville, FL 32256-2893

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
Philosophie Therapy LLC Mental Health CurrentSince Sep 29, 2024 Accepting new patients

Locations

7643 Gate Pkwy
Ste 1041475
Jacksonville, FL 32256
Phone (407) 863-2774

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1104560275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PARKWAY",
            "address_2": "SUITE 104-1475",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7643 GATE PARKWAY",
            "address_2": "SUITE 104-1475",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562893",
            "telephone_number": "407-863-2774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYDERRY",
        "first_name": "HANNAH",
        "name_prefix": "Mrs.",
        "credential": "RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "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 Apr 25, 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.

Verify at the official NPI Registry.