Melanie Daniles, MS COUNSELING

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH24061 Issued in FL

Practice address

3012 Sheer Bliss Way
Orange Park, FL 32065-0026

Phone

(904) 729-8972

NPI assigned

Jul 11, 2022

Last updated

Aug 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Rehabilitation Center IncGroup PAC ID 0648371716, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Community Rehabilitation Center Inc

  dba CRC

  • Point of Service
  • Jacksonville, FL
  • NPI 1528165909
  Medicare reassignment Care Compare group NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Gainesville, FL
  • NPI 1134287154
  Medicare reassignment NPD
• Master Your Journey Wellness Center, LLC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1114877529
  NPD Authorized official
• Community Rehabilitation Center, Inc.

  dba CRC

  • Community/Behavioral Health Agency
  • Jacksonville, FL
  • NPI 1770868010
  NPD
• Meridian Behavioral Healthcare, Inc.

  • Community/Behavioral Health Agency
  • Ocala, FL
  • NPI 1033850797
  NPD

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

{
    "created_epoch": "1657497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1114651775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3012 SHEER BLISS WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650026",
            "telephone_number": "904-729-8972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 SHEER BLISS WAY",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650026",
            "telephone_number": "904-729-8972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANILES",
        "first_name": "MELANIE",
        "credential": "MS COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP.0100297",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100167",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Counselor",
            "affiliation": "N",
            "endpointDescription": "Counseloro",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1370 berry street",
            "city": "Jennings",
            "state": "FL",
            "country_code": "US",
            "postal_code": "32053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vy Thuy Thi Dang
• Daniel Max & Marcandrea LLC (My EyeLab)
• Kristie M Daniel, PHD
• Cheyenne Daniels
• Kelly Daniels, ARNP
• Nikki Darbani, DDS
• Ward Daron, PT
• Andrew Bryson Dashiell, DPT
• Marianne M Davenport, APRN
• David a Mosborg MD

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, 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 Aug 14, 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.