Individual provider Active NPI

Edward Merkle, MA

  • Mental Health Counselor
  • New Smyrna Beach, FL
National Provider Identifier
1295077212
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
313 Cedar Ave
New Smyrna Beach, FL 32169-2618
Phone
(386) 416-9767
Fax
(386) 416-9767
NPI assigned
Mar 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

313 Cedar Ave
New Smyrna Beach, FL 32169-2618

Mailing address

313 Cedar Ave
New Smyrna Beach, FL 32169-2618
Phone (386) 416-9767

Other practice location 1

804 Dunlawton Ave
Port Orange, FL 32127-4931
Phone (386) 416-9767

Other practice location 2

4770 S Ridgewood Ave
Port Orange, FL 32127-4544
Phone (386) 416-9767

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
I20231221001458 FL Practitioner - Mental Health Counselor 8820442619 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Edward MerkleGroup PAC ID 4385098177, 2 clinicians

Practice addresses (Care Compare)

4770 S Ridgewood Ave
Suite 2
Port Orange, FL 32127-4543
Phone (386) 416-9767

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Edward Merkle Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

4770 S Ridgewood Ave
Ste 2
Port Orange, FL 32127
Phone (386) 401-9474

4770 S Ridgewood Ave
Pt Orange, FL 32127
Phone (386) 416-9767

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1295077212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 CEDAR AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692618",
            "telephone_number": "386-416-9767",
            "fax_number": "386-416-9767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 CEDAR AVE",
            "city": "NEW SMYRNA BEACH",
            "state": "FL",
            "postal_code": "321692618",
            "telephone_number": "386-416-9767",
            "fax_number": "386-416-9767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "804 Dunlawton Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274931",
            "country_code": "US",
            "telephone_number": "386-416-9767",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4770 S Ridgewood Ave",
            "address_purpose": "LOCATION",
            "city": "Port Orange",
            "state": "FL",
            "postal_code": "321274544",
            "country_code": "US",
            "telephone_number": "386-416-9767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "EDWARD",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna Beach, FL

Sources for this page

Verify at the official NPI Registry.