Active NPI
Mary Rollins, LMHC
- Mental Health Counselor
- Stuart, FL
National Provider Identifier
1164560330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH2450
- Practice address
- 735 Colorado Ave
Suite 6
Stuart, FL 34994-3031 - Phone
- (772) 220-3439
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH2450 | FL | Primary |
Addresses
Primary practice location
735 Colorado Ave
Suite 6
Stuart, FL 34994-3031
Mailing address
735 Colorado Ave
Suite 6
Stuart, FL 34994-3031
Phone (772) 220-3439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 764125700 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164560330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "735 COLORADO AVE",
"address_2": "SUITE 6",
"city": "STUART",
"state": "FL",
"postal_code": "349943031",
"telephone_number": "772-220-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 COLORADO AVE",
"address_2": "SUITE 6",
"city": "STUART",
"state": "FL",
"postal_code": "349943031",
"telephone_number": "772-220-3439"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLLINS",
"first_name": "MARY",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH2450",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "764125700",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Stuart, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.