Individual provider Active NPI

Jessica Pitts, LMHC

  • Mental Health Counselor
  • Saint Johns, FL
National Provider Identifier
1306690409
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22465 Issued in FL
Practice address
1629 Race Track Rd Ste 102
Saint Johns, FL 32259-6299
Phone
(336) 937-4783
NPI assigned
Apr 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 MH22465 FL Primary

Addresses

Primary practice location

1629 Race Track Rd Ste 102
Saint Johns, FL 32259-6299

Mailing address

1629 Race Track Rd Ste 102
Saint Johns, FL 32259-6299
Phone (336) 937-4783

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
I20240607003548 FL Practitioner - Mental Health Counselor 1557803376 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1629 Race Track Rd
Suite 102
Saint Johns, FL 32259-6299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22465FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Apr 8, 2024 Accepting new patients
M Taveras PSYD & Company Psychological Services CurrentSince Apr 11, 2025 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Apr 8, 2024 Accepting new patients

Locations

1565 SW Williston Rd
Gainesville, FL 32608

4300 SW 13th St
Gainesville, FL 32608

1629 Race Track Rd
Ste 102
St Johns, FL 32259
Phone (904) 204-2433

Organizations & group practices 3

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": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1306690409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1629 RACE TRACK RD STE 102",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596299",
            "telephone_number": "336-937-4783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1629 RACE TRACK RD STE 102",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322596299",
            "telephone_number": "336-937-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Johns, FL

Sources for this page

Verify at the official NPI Registry.