Active NPI
Carlton Cribb
- Counselor
- Jacksonville, FL
National Provider Identifier
1184028615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 435 Clark Rd Ste 107
Jacksonville, FL 32218-5558 - Phone
- (904) 683-1425
- NPI assigned
- Oct 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
435 Clark Rd Ste 107
Jacksonville, FL 32218-5558
Mailing address
435 Clark Rd Ste 107
Jacksonville, FL 32218-5558
Phone (904) 683-1425
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Right Path Behavioral Health Services, LLC. | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Ft Lauderdale, FL
- NPI 1255139838
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413158400000",
"number": "1184028615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 CLARK RD STE 107",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185558",
"telephone_number": "904-683-1425"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 CLARK RD STE 107",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322185558",
"telephone_number": "904-683-1425"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRIBB",
"first_name": "CARLTON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-13",
"last_updated": "2014-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.