Active NPI
Gina Ferens
- Mental Health Counselor
- Yulee, FL
National Provider Identifier
1184089286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17093
- Practice address
- 463142 State Road 200
Yulee, FL 32097-5554 - Phone
- (904) 225-8280
- NPI assigned
- Dec 16, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37AC00268600 | NJ | |
| Mental Health Counselor | 101YM0800X | MH17093 | FL | Primary |
Addresses
Primary practice location
463142 State Road 200
Yulee, FL 32097-5554
Mailing address
463142 State Road 200
Yulee, FL 32097-5554
Phone (904) 225-8280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH17093 | Other | FL | FL DEPT OF HEALTH CERTIFICATION |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH17093 | FL | MD | Mental Health Counselor |
| 37AC00268600 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576454400000",
"number": "1184089286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "463142 STATE ROAD 200",
"city": "YULEE",
"state": "FL",
"postal_code": "320975554",
"telephone_number": "904-225-8280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "463142 STATE ROAD 200",
"city": "YULEE",
"state": "FL",
"postal_code": "320975554",
"telephone_number": "904-225-8280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERENS",
"first_name": "GINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-16",
"last_updated": "2019-12-16",
"certification_date": "2019-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37AC00268600",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17093",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FL DEPT OF HEALTH CERTIFICATION",
"identifier": "MH17093",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.