Individual provider Active NPI

Melisa Henry, MSN, APRN, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1376314112
Registry record updated Apr 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11030230 Issued in FL
Practice address
6015 Chester Cir Ste 108
Jacksonville, FL 32217-2270
Phone
(855) 928-5011
NPI assigned
Jan 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11030230 FL Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AC007646 MD

Addresses

Primary practice location

6015 Chester Cir Ste 108
Jacksonville, FL 32217-2270

Mailing address

6015 Chester Cir Ste 108
Jacksonville, FL 32217-2270
Phone (855) 928-5011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250729000292 FL Practitioner - Nurse Practitioner 2062929607 Reassigns benefits to 3 organizations
I20260330001681 DC Practitioner - Nurse Practitioner 2062929607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

3932 W Eau Gallie Blvd
Melbourne, FL 32934-3283
Phone (877) 779-2429

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AC007646MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Dimensions Behavioral Health Corp CurrentSince Jul 21, 2025 Accepting new patients
Renewed Purpose Mental Health Care, LLC Psychiatric/Mental Health Current Accepting new patients
Companion & Compassion LLC CurrentSince Sep 14, 2025 Accepting new patients

Locations

6015 Chester Cir
Ste 108
Jacksonville, FL 32217
Phone (855) 928-5011

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

7041 Grand National Dr
Ste 200
Orlando, FL 32819
Phone (407) 982-7718

Organizations & group practices 5

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": "1704844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776124800000",
    "number": "1376314112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "855-928-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 CHESTER CIR STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172270",
            "telephone_number": "855-928-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "MELISA",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-10",
        "last_updated": "2026-04-14",
        "certification_date": "2026-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11030230",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "AC007646",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.