Active NPI
Allison Dempsey, LMHC, LPC, BCBA
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1194153536
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18971
- Practice address
- 1912 Hamilton St Ste 108
Jacksonville, FL 32210-2077 - Phone
- (904) 419-9864
- NPI assigned
- Oct 22, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 21120-875 | WI | |
| Behavior Analyst | 103K00000X | 1-18-31957 | FL | |
| Mental Health Counselor | 101YM0800X | MH18971 | FL | Primary |
Addresses
Primary practice location
1912 Hamilton St Ste 108
Jacksonville, FL 32210-2077
Mailing address
4530 Saint Johns Ave Ste 15-214
Jacksonville, FL 32210-1852
Phone (904) 419-9864
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 |
|---|---|---|---|
| MH18971 | FL | MD | Mental Health Counselor |
| 21120-875 | WI | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amd Counseling & Consulting, LLC | Mental Health | Current | Accepting new patients |
Locations
4530 Saint Johns Ave
Ste 15214
Jacksonville, FL 32210
1912 Hamilton St
Ste 108
Jacksonville, FL 32210
Phone (904) 419-9864
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1346996477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655683200000",
"number": "1194153536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 SAINT JOHNS AVE STE 15-214",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101852",
"telephone_number": "904-419-9864",
"fax_number": "904-212-0929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 HAMILTON ST STE 108",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322102077",
"telephone_number": "904-419-9864"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEMPSEY",
"first_name": "ALLISON",
"credential": "LMHC, LPC, BCBA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-22",
"last_updated": "2022-06-20",
"certification_date": "2022-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "21120-875",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "FL",
"license": "1-18-31957",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18971",
"primary": true
}
],
"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 Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.