Individual provider Active NPI

Ariella Leah Gershenson, MS, LMHC, BC-TMH

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1306465372
Registry record updated Apr 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15104 Issued in FL
Practice address
6156 Park St
Jacksonville, FL 32205-6823
Phone
(850) 774-9495
NPI assigned
Apr 10, 2020
Last updated
Apr 10, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2020

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 MH15104 FL Primary

Addresses

Primary practice location

6156 Park St
Jacksonville, FL 32205-6823

Mailing address

6156 Park St
Jacksonville, FL 32205-6823
Phone (850) 774-9495

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH15104FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1586476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586476800000",
    "number": "1306465372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6156 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056823",
            "telephone_number": "850-774-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6156 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056823",
            "telephone_number": "850-774-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSHENSON",
        "first_name": "ARIELLA",
        "middle_name": "LEAH",
        "credential": "MS, LMHC, BC-TMH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-10",
        "last_updated": "2020-04-10",
        "certification_date": "2020-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 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.

Verify at the official NPI Registry.