Individual provider Active NPI

Rona Briones Perszyk, M.A.

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1295883908
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9550 Issued in FL
Practice address
165 Wells Rd Ste 304
Orange Park, FL 32073-3037
Phone
(904) 720-4040
Fax
(904) 720-4596
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH 5730 FL
Mental Health Counselor 101YM0800X MH9550 FL Primary

Addresses

Primary practice location

165 Wells Rd Ste 304
Orange Park, FL 32073-3037

Mailing address

165 Wells Rd Ste 304
Orange Park, FL 32073-3037
Phone (904) 720-4040

Other identifiers 3

IdentifierTypeStateIssuer
MH 9550OtherFLFLORIDA LICENSE
7674252 00MedicaidFL
IMH 5730OtherFLFLORIDA INTERN 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
I20240529001870 FL Practitioner - Mental Health Counselor 8022450550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emery Milne Psychological Group, LLCGroup PAC ID 1355695669, 10 clinicians

Practice addresses (Care Compare)

165 Wells Rd
Suite 304
Orange Park, FL 32073-3037
Phone (904) 720-4040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IMH 5730FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Emery Milne Psychological Group, LLC CurrentSince May 13, 2024 Accepting new patients
Sheldon J Kaplan PHD and Associates Past Accepting new patients

Locations

165 Wells Rd
Ste 304
Orange Park, FL 32073
Phone (904) 720-4040

Organizations & group practices 2

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": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1295883908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 304",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733037",
            "telephone_number": "904-720-4040",
            "fax_number": "904-720-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 304",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733037",
            "telephone_number": "904-720-4040",
            "fax_number": "904-720-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERSZYK",
        "first_name": "RONA",
        "middle_name": "BRIONES",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH 5730",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA LICENSE",
            "identifier": "MH 9550",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7674252 00",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA INTERN LICENSE",
            "identifier": "IMH 5730",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.