Individual provider Active NPI

Joanna Lea Ale, LMHC, CIC

  • Behavior Analyst
  • Jacksonville, FL
National Provider Identifier
1326425315
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
MH13635 Issued in FL
Practice address
1904 Farragut PL
Jacksonville, FL 32207-3420
Phone
(904) 503-0131
NPI assigned
Apr 29, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X MH13635 FL Primary
Mental Health Counselor 101YM0800X MH13635 FL

Addresses

Primary practice location

1904 Farragut PL
Jacksonville, FL 32207-3420

Mailing address

1904 Farragut PL
Jacksonville, FL 32207-3420
Phone (904) 503-0131

Other identifiers 2

IdentifierTypeStateIssuer
020405700MedicaidFL
018510200MedicaidFL

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

LicenseStateTypeSpecialty
MH13635FLMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Tsi Health, LLC Mental Health CurrentSince Jul 7, 2024 Accepting new patients
Tsi Health, LLC Mental Health CurrentSince Jul 1, 2021 Accepting new patients

Locations

1904 Farragut Pl
Jacksonville, FL 32207
Phone (904) 401-9320

4624 Park St
Jacksonville, FL 32205
Phone (904) 503-0131

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": "1430265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1326425315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 FARRAGUT PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073420",
            "telephone_number": "904-503-0131",
            "fax_number": "732-735-8614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 FARRAGUT PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322073420",
            "telephone_number": "904-503-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALE",
        "first_name": "JOANNA",
        "middle_name": "LEA",
        "name_prefix": "Dr.",
        "credential": "LMHC, CIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-29",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH13635",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020405700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018510200",
            "state": "FL"
        }
    ],
    "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 Jul 3, 2024; 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.