Individual provider Active NPI

Courtney Huey, LMFT

  • Marriage & Family Therapist
  • Fleming Island, FL
National Provider Identifier
1346901477
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4024 Issued in FL
Practice address
4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832
Phone
(904) 269-0886
NPI assigned
Dec 30, 2021
Last updated
Dec 30, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4024 FL Primary

Addresses

Primary practice location

4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832

Mailing address

14 Virginia CT
Orange Park, FL 32073-5949
Phone (812) 236-1147

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
I20231116002349 FL Practitioner - Marriage and Family Therapist 8628440799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Owimast Health LLCGroup PAC ID 6901278076, 4 clinicians

Practice addresses (Care Compare)

10245 Centurion Pkwy N
Suite 250
Jacksonville, FL 32256-2808
Phone (904) 674-3521

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4024FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Owimast Health LLC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

10245 Centurion Pkwy N
Ste 250
Jacksonville, FL 32256
Phone (904) 277-0027

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1346901477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 VIRGINIA CT",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735949",
            "telephone_number": "812-236-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17 STE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEY",
        "first_name": "COURTNEY",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-30",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

Verify at the official NPI Registry.