Individual provider Active NPI

Mitzy K Neel, LMHC

  • Mental Health Counselor
  • Jacksonville Beach, FL
National Provider Identifier
1265569065
Registry record updated Jun 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8334 Issued in FL
Practice address
2380 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4072
Phone
(904) 614-5521
Fax
(904) 241-7055
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2015

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 MH8334 FL Primary

Addresses

Primary practice location

2380 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4072

Mailing address

826 6TH Ave N
Jacksonville Beach, FL 32250-4608
Phone (904) 614-5521

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XOtherPROVIDER TAXONOMIES

Other names 1

  • Mrs. Mitzy K Neel Galer Former name

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

LicenseStateTypeSpecialty
MH8334FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434067200000",
    "number": "1265569065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 6TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504608",
            "telephone_number": "904-614-5521",
            "fax_number": "904-241-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-614-5521",
            "fax_number": "904-241-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEEL",
        "first_name": "MITZY",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8334",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TAXONOMIES",
            "identifier": "1041C0700X",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MITZY",
            "last_name": "GALER",
            "middle_name": "K NEEL",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.