Organization Active NPI

Emily B Riegel M Ed LMHC PA

  • Mental Health Counselor
  • Ponte Vedra Beach, FL
National Provider Identifier
1205247780
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3390 Issued in FL
Legal business name
EMILY B RIEGEL M ED LMHC PA
Practice address
4400 Marsh Landing Blvd Ste 104
Ponte Vedra Beach, FL 32082-1287
Phone
(904) 834-4433
NPI assigned
May 18, 2014
Last updated
Jun 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Emily Banks Riegel, L.M.H.C.NPI 1043467582
Title
Owner
Phone
(904) 834-4433

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 Counselor 101YM0800X MH3390 FL Primary

Addresses

Primary practice location

4400 Marsh Landing Blvd Ste 104
Ponte Vedra Beach, FL 32082-1287

Mailing address

4400 Marsh Landing Blvd Ste 104
Ponte Vedra Beach, FL 32082-1287
Phone (904) 834-4433

Other identifiers 1

IdentifierTypeStateIssuer
Z6701OtherFLBLUE CROSS BLUE SHIELD FLORIDA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1205247780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4400 MARSH LANDING BLVD STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821287",
            "telephone_number": "904-834-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MARSH LANDING BLVD STE 104",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821287",
            "telephone_number": "904-834-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMILY B RIEGEL M ED LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "RIEGEL",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "BANKS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-834-4433",
        "authorized_official_credential": "L.M.H.C."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FLORIDA",
            "identifier": "Z6701",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.