Individual provider Active NPI

Jatharine Mercado, LMHC

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1124673702
Registry record updated Jun 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16785 Issued in FL
Practice address
1106 Druid Rd S Ste 201
Clearwater, FL 33756-3807
Phone
(727) 584-6266
NPI assigned
Aug 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16785 FL Primary

Addresses

Primary practice location

1106 Druid Rd S Ste 201
Clearwater, FL 33756-3807

Mailing address

1106 Druid Rd S Ste 201
Clearwater, FL 33756-3807
Phone (727) 584-6266

Other practice location 1

9400 4th St N Ste 200
Saint Petersburg, FL 33702-2501
Phone (717) 608-0329

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Jatharine.MercadoLMHC@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20231201001612 FL Practitioner - Mental Health Counselor 3870941883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerald Clover, LLCGroup PAC ID 5496290033, 14 clinicians

Practice addresses (Care Compare)

9400 4TH St N
Suite 200
St Petersburg, FL 33702-2501
Phone (727) 513-2962

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Behavioral Health Management Services, Inc Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Emerald Clover, LLC CurrentSince May 29, 2024 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

1106 Druid Rd S
Ste 201
Clearwater, FL 33756
Phone (727) 442-7181

9400 4th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 513-2962

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Interoperability endpoints

  • Direct secure messaging: jatharine.mercadolmhc@direct.mybaycare.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719446400000",
    "number": "1124673702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563807",
            "telephone_number": "727-584-6266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 DRUID RD S STE 201",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563807",
            "telephone_number": "727-584-6266"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9400 4th St N Ste 200",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337022501",
            "country_code": "US",
            "telephone_number": "717-608-0329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "JATHARINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-09",
        "last_updated": "2024-06-27",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16785",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Jatharine.MercadoLMHC@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.