Individual provider Active NPI

Zachary Michael Fleming, MA, MCAP

  • Addiction (Substance Use Disorder) Counselor
  • Jacksonville, FL
National Provider Identifier
1114223757
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MCAP100202 Issued in FL
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

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MCAP100202FLMDAddiction (Substance Use Disorder) Counselor
101027OHMDAddiction (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.

Verify at the official NPI Registry.