Active NPI
Michelle Renee Nessmith
- Mental Health Counselor
- Lake City, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21730
- Practice address
- 439 SW Michigan St
Lake City, FL 32025-0440 - Phone
- (352) 374-5600
- NPI assigned
- Nov 21, 2015
- Last updated
- Jan 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH21730 | FL | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
439 SW Michigan St
Lake City, FL 32025-0440
Mailing address
4300 SW 13TH St
Gainesville, FL 32608-4006
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1549 SW 13TH St
Gainesville, FL 32608-1113
Phone (352) 374-5600
4300 SW 13TH St
Gainesville, FL 32608-4006
Phone 35237456008210
4310 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600
4316 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21730 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients | |
| Meridian Behavioral Healthcare, Inc. | Current | Accepting new patients |
Locations
4300 SW 13th St
Gainesville, FL 32608
439 SW Michigan St
Lake City, FL 32025
Phone (386) 487-0800
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Gainesville, FL
- NPI 1134287154
-
- Community/Behavioral Health Agency
- Ocala, FL
- NPI 1033850797
-
- Community/Behavioral Health Agency
- Lake Butler, FL
- NPI 1831366251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672963200000",
"number": "1326412891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 SW 13TH ST",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "439 SW MICHIGAN ST",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320250440",
"telephone_number": "352-374-5600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSMITH",
"first_name": "MICHELLE",
"middle_name": "RENEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-21",
"last_updated": "2023-01-06",
"certification_date": "2023-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21730",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
- National Medical Transportation Enterprise Inc
- Naylor Nursing Services, LLC
- Melanie M Nelson, PHD
- Tassie Eubank Nelson, PT
- Nemours Children's Health, Lake City, Specialty Care
- Caroline Witt Nettles, NP-C
- Leah Nettles
- Neurodiverse Ability Services LLC
- Neurology Center of North Florida, LLC
- Newcare Primary Medicine, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.