Individual provider Active NPI

Caroline Singh, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1225702228
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16255 Issued in FL
Practice address
555 Stockton St
Jacksonville, FL 32204-2534
Phone
(904) 387-4661
Fax
(904) 361-5005
NPI assigned
Aug 3, 2021
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 MH16255 FL Primary

Addresses

Primary practice location

555 Stockton St
Jacksonville, FL 32204-2534

Mailing address

3901 Carmichael Ave
Jacksonville, FL 32207-2325
Phone (904) 899-6300

Other practice location 1

3901 Carmichael Ave
Jacksonville, FL 32207-2325
Phone (904) 899-6300

Other identifiers 1

IdentifierTypeStateIssuer
MH16255OtherFLSTATE LICENSE

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
I20250128004878 FL Practitioner - Mental Health Counselor 8123557683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gateway Community Services IncGroup PAC ID 7618056649, 5 clinicians

Practice addresses (Care Compare)

555 Stockton St
Jacksonville, FL 32204-2534
Phone (904) 387-4661

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16255FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Gateway Community Services, Inc. CurrentSince Jan 22, 2025 Accepting new patients

Locations

2133 Broadway Ave
Jacksonville, FL 32209
Phone (904) 361-5010

555 Stockton St
Jacksonville, FL 32204
Phone (904) 387-4661

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, 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": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1225702228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 CARMICHAEL AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072325",
            "telephone_number": "904-899-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 STOCKTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042534",
            "telephone_number": "904-387-4661",
            "fax_number": "904-361-5005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3901 Carmichael Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322072325",
            "country_code": "US",
            "telephone_number": "904-899-6300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINGH",
        "first_name": "CAROLINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16255",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MH16255",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.