Melanie Reynolds Mickey, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11303 Issued in FL

Practice address

9654 Ragsdale Dr
Jacksonville, FL 32257-6121

Phone

(904) 891-9365

NPI assigned

Jul 5, 2013

Last updated

Dec 1, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Anchor Life Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
  • NPI 1184237182
  Authorized official Same address or phone
• Pathways Counseling & Consulting Services, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1609172337
  NPD (past)

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

{
    "created_epoch": "1372982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701388800000",
    "number": "1174963144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9654 RAGSDALE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576121",
            "telephone_number": "904-891-9365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9654 RAGSDALE DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576121",
            "telephone_number": "904-891-9365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKEY",
        "first_name": "MELANIE",
        "middle_name": "REYNOLDS",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-05",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "462088732",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenna Michelson, LCSW
• Janice Valerio Miciano, APRN
• Taylor Mickelson, ATC
• Jada Mickens
• Sabrina Mickens
• William Robert Mickle, APRN
• Brent S Mickley, PA
• John Mickley
• Angelia Rose Miclat
• Victor C. Micolucci, M.D.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Dec 1, 2023; 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.

Verify at the official NPI Registry.