Active NPI
Mary Slaton, LPC, NCC
- Professional Counselor
- Ponte Vedra Beach, FL
National Provider Identifier
1306455571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 19733
- Practice address
- 141 Crosscove Cir
Ponte Vedra Beach, FL 32082-4026 - Phone
- (832) 721-6349
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3773 | LA | |
| Professional Counselor | 101YP2500X | 19733 | TX | Primary |
Addresses
Primary practice location
141 Crosscove Cir
Ponte Vedra Beach, FL 32082-4026
Mailing address
141 Crosscove Cir
Ponte Vedra Beach, FL 32082-4026
Phone (832) 721-6349
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3773 | LA | MD | General Practice Dentistry |
| 19733 | TX | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1306455571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 CROSSCOVE CIR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824026",
"telephone_number": "832-721-6349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 CROSSCOVE CIR",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320824026",
"telephone_number": "832-721-6349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SLATON",
"first_name": "MARY",
"credential": "LPC, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-07-23",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "LA",
"license": "3773",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "19733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
- Shenoti and Besa Holdings
- Wendy Ann Sheroke-Hughes, LMHC
- Erica Joy Siegel, AP, L.AC.
- Barbara Jane Silon, MA
- Kristin Skipper, APRN-BC
- Sleep Doctor Medical Group of California, P.C.
- Sleep Doctor Medical Group of Kansas, P.a.
- Sleep Doctor Medical Group of New Jersey, P.C.
- Sleep Doctor Medical Group of Oregon, P.C.
- Sleep Doctor Medical Group PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.