Individual provider Active NPI

Raquisha Bing, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1174390975
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24677 Issued in FL
Practice address
7531 Allspice Cir S
Jacksonville, FL 32244-7033
Phone
(904) 200-5627
NPI assigned
Dec 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 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 MH24677 FL Primary

Addresses

Primary practice location

7531 Allspice Cir S
Jacksonville, FL 32244-7033

Mailing address

7531 Allspice Cir S
Jacksonville, FL 32244-7033
Phone (904) 200-5627

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
I20241216000981 FL Practitioner - Mental Health Counselor 3678009503 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7545 Centurion Pkwy
Suite 105
Jacksonville, FL 32256-4118
Phone (904) 200-5627

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Soul Counseling LLC Mental Health CurrentSince Nov 26, 2024 Accepting new patients

Locations

7545 Centurion Pkwy
Ste 105
Jacksonville, FL 32256
Phone (904) 200-5627

Organizations & group practices 1

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": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1174390975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7531 ALLSPICE CIR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447033",
            "telephone_number": "904-200-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7531 ALLSPICE CIR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322447033",
            "telephone_number": "904-200-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BING",
        "first_name": "RAQUISHA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-11",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.