Individual provider Active NPI

Tavon Amber Kermeen, LCMHC

  • Mental Health Counselor
  • Jacksonville, NC
National Provider Identifier
1346966843
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
18773 Issued in NC
Practice address
734 Lantern Rest LN
Jacksonville, NC 28546-0230
Phone
(910) 470-0903
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

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 18773 NC Primary

Addresses

Primary practice location

734 Lantern Rest LN
Jacksonville, NC 28546-0230

Mailing address

PO Box 8630
Camp Lejeune, NC 28547-8630
Phone (910) 407-0930

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260423000353 NC Practitioner - Mental Health Counselor 3678040086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18773NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Until Grace Counseling, PLLC Mental Health CurrentSince Sep 3, 2025 Accepting new patients
Recovery Innovations, Inc PastSince Oct 1, 2022 Accepting new patients
Recovery Innovations, Inc PastSince Oct 1, 2022 Accepting new patients

Organizations & group practices 4

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": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1346966843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8630",
            "city": "CAMP LEJEUNE",
            "state": "NC",
            "postal_code": "285478630",
            "telephone_number": "910-407-0930",
            "fax_number": "910-668-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "734 LANTERN REST LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285460230",
            "telephone_number": "910-470-0903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERMEEN",
        "first_name": "TAVON",
        "middle_name": "AMBER",
        "credential": "LCMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "18773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.