Active NPI
Judy Ann McDonald, LMHC
- Mental Health Counselor
- Gainesville, FL
National Provider Identifier
1114207925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH7033
- Practice address
- 4300 SW 13TH St
Gainesville, FL 32608-4006 - Phone
- (352) 374-5600
- Fax
- (352) 224-2741
- NPI assigned
- Aug 24, 2011
- Last updated
- Sep 24, 2019
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH7033 | FL | |
| Homemaker | 376J00000X | |||
| Nurse's Aide | 376K00000X | CNA259380 | FL | |
| Mental Health Counselor | 101YM0800X | MH7033 | FL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH7033 | FL |
Addresses
Primary practice location
4300 SW 13TH St
Gainesville, FL 32608-4006
Mailing address
4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600
Other practice location 1
4300 SW 13th St
Gainesville, FL 32608
Phone (352) 374-5600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH7033 | FL | MD | Professional Counselor |
| CNA259380 | FL | MD | Nurse's Aide |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| McDonald and Associates | Mental Health | Past | Accepting new patients |
Locations
4300 SW 13th St
Gainesville, FL 32608
Organizations & group practices 4
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.
-
- Mental Health Counselor
- Citra, FL
- NPI 1720505886
-
- Community/Behavioral Health Agency
- Ocala, FL
- NPI 1033850797
-
- Community/Behavioral Health Agency
- Gainesville, FL
- NPI 1134287154
-
- Community/Behavioral Health Agency
- Macclenny, FL
- NPI 1265954358
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1314144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1114207925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084006",
"telephone_number": "352-374-5600",
"fax_number": "352-224-2741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084006",
"telephone_number": "352-374-5600",
"fax_number": "352-224-2741"
}
],
"practiceLocations": [
{
"address_1": "4300 SW 13th St",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "32608",
"country_code": "US",
"telephone_number": "352-374-5600",
"fax_number": "352-224-2741",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "JUDY",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-24",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH7033",
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "FL",
"license": "CNA259380",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH7033",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH7033",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.