Active NPI
Zachary Michael Fleming, MA, MCAP
- Addiction (Substance Use Disorder) Counselor
- Jacksonville, FL
National Provider Identifier
1114223757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MCAP100202
- Practice address
- 8825 Perimeter Park Blvd Ste 402
Jacksonville, FL 32216-1124 - Phone
- (904) 719-3312
- Fax
- (904) 719-3312
- NPI assigned
- Jan 30, 2011
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101027 | OH | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MCAP100202 | FL | Primary |
Addresses
Primary practice location
8825 Perimeter Park Blvd Ste 402
Jacksonville, FL 32216-1124
Mailing address
8825 Perimeter Park Blvd Ste 402
Jacksonville, FL 32216-1124
Phone (904) 719-3312
Other practice location 1
6639 Southpoint Pkwy
Suite 108
Jacksonville, FL 32216-8041
Phone (904) 438-7640 ext. 200
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MCAP100202 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| 101027 | OH | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1296345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1114223757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8825 PERIMETER PARK BLVD STE 402",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161124",
"telephone_number": "904-719-3312",
"fax_number": "904-719-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8825 PERIMETER PARK BLVD STE 402",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161124",
"telephone_number": "904-719-3312",
"fax_number": "904-719-3312"
}
],
"practiceLocations": [
{
"address_1": "6639 Southpoint Pkwy",
"address_2": "Suite 108",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322168041",
"country_code": "US",
"telephone_number": "904-438-7640 x200",
"fax_number": "904-438-7656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEMING",
"first_name": "ZACHARY",
"middle_name": "MICHAEL",
"credential": "MA, MCAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-01-30",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "101027",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MCAP100202",
"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 Jul 21, 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.