Desiree Patrick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17879 Issued in FL

Practice address

2575 County Road 220 Ste 102
Middleburg, FL 32068-6542

Phone

(904) 615-0152

NPI assigned

Mar 17, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Desiree Patrick-Mockalis Former name

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Mental Health Specialty Group PA

  • Mental Health Counselor
  • Durham, NC
  • NPI 1801472634

  FL

  Medicare reassignment NPD
• Full Circle Counseling Services, LLC

  • Counselor
  • Orange Park, FL
  • NPI 1902253495
  NPD (past)

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

{
    "created_epoch": "1584403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1114553559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1072",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320671072",
            "telephone_number": "904-258-2524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 COUNTY ROAD 220 STE 102",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686542",
            "telephone_number": "904-615-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "DESIREE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-17",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "PATRICK-MOCKALIS",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Parks, ARNP
• Rukma Parthvi, MD
• Kathryn Pasos, M.S., CCC-SLP
• Lauren Nicole Pastizzo, PHARMD
• Betty Michelle Pate, ARNP
• Pca Plus Inc
• Pediatrix Medical Group of Florida Inc
• Tyquitta Janell Perrier, FNP, PMHNP
• Personal Touch Residential Care, LLC
• Travis J Peterson, FNP

• Mental Health Counselor in Middleburg, FL
• Providers in Middleburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.