Individual provider Active NPI

Julie Diane Mergl, LMHC, LPC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1427299320
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9311 Issued in FL
Practice address
6100 Greenland Rd
Jacksonville, FL 32258-2453
Phone
(904) 466-1253
NPI assigned
Mar 23, 2009
Last updated
Feb 25, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC5167 NC
Mental Health Counselor 101YM0800X FL
Mental Health Counselor 101YM0800X MH9311 FL Primary

Addresses

Primary practice location

6100 Greenland Rd
Jacksonville, FL 32258-2453

Mailing address

3895 Tar Kiln Rd
Jacksonville, FL 32223-2097
Phone (904) 366-9617

Other names 1

  • Julie Diane Allard Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH9311FLMDMental Health Counselor
LPC5167NCMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Julie Mergl, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Mandarin Counseling Inc PastSince May 27, 2010 Accepting new patients

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, 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": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1427299320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 TAR KILN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232097",
            "telephone_number": "904-366-9617",
            "fax_number": "904-886-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582453",
            "telephone_number": "904-466-1253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERGL",
        "first_name": "JULIE",
        "middle_name": "DIANE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LPC5167",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "ALLARD",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.