Marcia Murray McKetty, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 8493 Issued in FL

Practice address

3027 San Diego Rd
Jacksonville, FL 32207-3691

Phone

(904) 493-7759

Fax

(904) 348-2818

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1295882298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12044 RISING OAKS DR E",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322230845",
            "telephone_number": "904-292-1732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3027 SAN DIEGO RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073691",
            "telephone_number": "904-493-7759",
            "fax_number": "904-348-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKETTY",
        "first_name": "MARCIA",
        "middle_name": "MURRAY",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvette Dream McKenzie
• Tamara McKenzie
• Taylor McKenzie
• Terrisha McKenzy, REGISTERED NURSE
• Lara McKeown
• Brian Thomas McKibben, M.D.
• Margaret McKibben, MD
• Ross McKibben, DPT
• Tarra McKibben
• Ashley Ziccarelli McKillip, M.ED., CCC-SLP

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Jul 9, 2007; 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.