Individual provider Active NPI

Angela M Whittinghill, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1376054809
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15607 Issued in FL
Practice address
1523 Oak Lace CT
Jacksonville, FL 32225-2847
Phone
(904) 571-4102
NPI assigned
Oct 24, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X RMHCI13835 FL
Mental Health Counselor 101YM0800X MH15607 FL Primary

Addresses

Primary practice location

1523 Oak Lace CT
Jacksonville, FL 32225-2847

Mailing address

1523 Oak Lace CT
Jacksonville, FL 32225-2847
Phone (904) 571-4102

Other practice location 1

8833 Perimeter Park Blvd #702
Jacksonville, FL 32216
Phone (904) 571-4102

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
I20250106003628 FL Practitioner - Mental Health Counselor 7517373889 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10163 Fortune Pkwy
Jacksonville, FL 32256-3519
Phone (904) 479-6050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15607FLMDMental Health Counselor
RMHCI13835FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindme LLC Mental Health CurrentSince Jan 1, 2025 Accepting new patients

Locations

10163 Fortune Pkwy
Jacksonville, FL 32256
Phone (904) 479-6050

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1376054809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1523 OAK LACE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252847",
            "telephone_number": "904-571-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1523 OAK LACE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252847",
            "telephone_number": "904-571-4102"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8833 Perimeter Park Blvd #702",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32216",
            "country_code": "US",
            "telephone_number": "904-571-4102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITTINGHILL",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-24",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "RMHCI13835",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.