Individual provider Active NPI

Kristin Blake Ramsey, LMHC

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1467287045
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
24257 Issued in FL
Practice address
1400 Old Dixie Hwy Ste a
St Augustine, FL 32084-5733
Phone
(904) 829-2273
NPI assigned
Sep 4, 2024
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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 24257 FL Primary

Addresses

Primary practice location

1400 Old Dixie Hwy Ste a
St Augustine, FL 32084-5733

Mailing address

1400 Old Dixie Hwy
St Augustine, FL 32084-4190
Phone (904) 829-2273

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
I20250429002347 FL Practitioner - Mental Health Counselor 7810413234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epic Community Services IncGroup PAC ID 5193254290, 6 clinicians

Practice addresses (Care Compare)

1400 Old Dixie Hwy
Suite a
Saint Augustine, FL 32084-5733
Phone 90482922734030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24257FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Epic Community Services, Inc CurrentSince Apr 10, 2025 Accepting new patients

Locations

2323 N State St
Unit 58
Bunnell, FL 32110
Phone 90482922734030

175 Hampton Point Dr
Saint Augustine, FL 32092

1400 Old Dixie Hwy
St Augustine, FL 32084
Phone (412) 853-4014

1400 Old Dixie Hwy
Ste A
St Augustine, FL 32084
Phone (904) 819-1250

3910 Lewis Speedway
Ste 1106
St Augustine, FL 32084
Phone 90482922734030

3910 Lewis Speedway
Ste 1103
St Augustine Beach, FL 32084
Phone (386) 837-9686

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, 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": "1725408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1467287045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320844190",
            "telephone_number": "904-829-2273",
            "fax_number": "904-829-0724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 OLD DIXIE HWY STE A",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320845733",
            "telephone_number": "904-829-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAMSEY",
        "first_name": "KRISTIN",
        "middle_name": "BLAKE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "24257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.