Lumos Mental Health, PLLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LUMOS MENTAL HEALTH, PLLC

Practice address

10151 Deerwood Park Blvd BLDG 200
Jacksonville, FL 32256-0566

Phone

(904) 906-6754

NPI assigned

May 22, 2024

Organization subpart

No

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

Authorized official

Name

Julie Margarita Smith, LMHCNPI 1588160303

Title

Owner

Phone

(904) 322-1232

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Julie Margarita Smith, LMHC, CAP

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1588160303
  NPD Authorized official

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1457190126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7643 GATE PKWY STE 104-1381",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322563092",
            "telephone_number": "904-906-6754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD BLDG 200",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "904-906-6754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUMOS MENTAL HEALTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "MARGARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-322-1232",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MY INDIVIDUAL NPI",
            "identifier": "1588160303",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katelyn Luksha
• Jason Gregory Lulejian, D.O.
• Lumen Counseling, Inc.
• Leandro Lumermann, MD
• Jeffery T Lumley, D.O.
• Jessica Lumpkin, LMHC
• Zachary Michael Lumpkin, MA
• Kira Lumpkins, LMHC
• Luna Acupuncture & Wellness
• Luna Acupuncture, Inc.

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.