Organization Active NPI

Destiny Adult & Children Counseling Ctr

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ocala, FL
National Provider Identifier
1184822157
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
7369 Issued in FL
Legal business name
DESTINY ADULT & CHILDREN COUNSELING CTR
Practice address
150 SE 17TH St
Suite 801
Ocala, FL 34471-5178
Phone
(352) 622-4888
Fax
(352) 694-4884
NPI assigned
Jul 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Authorized official

Name
Ms. Mercy U Oibo, M.A., LMHCNPI 1669480638
Title
Director/Mental Health Counselor
Phone
(352) 622-4888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 7369 FL Primary

Addresses

Primary practice location

150 SE 17TH St
Suite 801
Ocala, FL 34471-5178

Mailing address

150 SE 17TH St
Suite 801
Ocala, FL 34471-5178
Phone (352) 622-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240219001307 FL Part B Supplier - Clinic/Group Practice 5890139836 Receives reassigned benefits from 1 practitioner
Practice locations: Ocala, FL

National Provider Directory

National Provider Directory

Locations

150 SE 17th St
Ste 801
Ocala, FL 34471
Phone (352) 237-7646

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184112000000",
    "number": "1184822157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "address_2": "SUITE 801",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715178",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SE 17TH ST",
            "address_2": "SUITE 801",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715178",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTINY ADULT & CHILDREN COUNSELING CTR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A",
        "authorized_official_last_name": "OIBO",
        "authorized_official_first_name": "MERCY",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "DIRECTOR/MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "352-622-4888",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "7369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.