Individual provider Active NPI

Eric M Athearn, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1225218084
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9292 Issued in FL
Practice address
9951 Atlantic Blvd Ste 100B
Jacksonville, FL 32225-6558
Phone
(904) 727-7778
NPI assigned
Nov 9, 2007
Last updated
Apr 8, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9292 FL Primary

Addresses

Primary practice location

9951 Atlantic Blvd Ste 100B
Jacksonville, FL 32225-6558

Mailing address

9951 Atlantic Blvd Ste 100B
Jacksonville, FL 32225-6558
Phone (904) 727-7778

Other names 1

  • Eric M Athearn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250130000540 FL Practitioner - Mental Health Counselor 3779012141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Latorre Counseling Center CoGroup PAC ID 2668823782, 4 clinicians

Practice addresses (Care Compare)

9770 Baymeadows Rd
Suite 133
Jacksonville, FL 32256-7986
Phone (904) 479-5863

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Latorre Counseling Center Co Mental Health CurrentSince Dec 1, 2025 Accepting new patients
Metropolitan Behavioral Services LLC Mental Health CurrentSince Dec 14, 2024 Accepting new patients
Volland & Associates Inc PastSince Jan 1, 2001 Accepting new patients

Locations

11512 Lake Mead Ave
Unit 405
Jacksonville, FL 32256
Phone (833) 577-6257

4500 Salisbury Rd
Ste 490
Jacksonville, FL 32216
Phone (904) 562-1391

9770 Old Baymeadows Rd
Ste 133
Jacksonville, FL 32256
Phone (904) 479-5863

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1225218084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 100B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256558",
            "telephone_number": "904-727-7778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9951 ATLANTIC BLVD STE 100B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322256558",
            "telephone_number": "904-727-7778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHEARN",
        "first_name": "ERIC",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-09",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "ATHEARN",
            "middle_name": "M",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.