John Michael Poli, LMHC, CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 6406 Issued in FL

Practice address

2100 SE Hillmoor Dr Ste 201
Port St Lucie, FL 34952-8057

Phone

(722) 285-5445

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Treasure Coast Neuropsychology PA

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Port St Lucie, FL
  • NPI 1689454613
  NPD
• Suncoast Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1225046550
  NPD (past)
• Suncoast Mental Helath

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1699029017
  NPD (past)

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1215947155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SE GASPARILLA AVENUE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "34983",
            "telephone_number": "772-285-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 SE HILLMOOR DR STE 201",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349528057",
            "telephone_number": "722-285-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLI",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6406",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7654863 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSF PROVIDER NUMBER",
            "identifier": "Z128R",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Plasencia
• Marie Pluviose
• Pob Associates, PL
• Podiatry Health Services LLC
• Cynthia Poitier
• Marie Policape
• Polo Medical Center PSL
• Alexander Poloukine
• Jessica Marie Polutchko, PA-C
• Ashley Polynice, LMHC

• Mental Health Counselor in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.