Marybeth Borreca

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23269 Issued in FL

Practice address

1903 Island Walk Way
Fernandina Beach, FL 32034-4797

Phone

(904) 277-0027

NPI assigned

Feb 23, 2026

Last updated

Feb 23, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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.

Specialty

Mental Health Counselor

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stellar Clinic CT PLLCGroup PAC ID 0840633368, 46 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Stellar Clinic CT PLLC

  • Mental Health Counselor
  • Detroit, MI
  • NPI 1609641042
  Care Compare group
• Florida Psychological & Associated Healthcare

  • Psychologist
  • Fernandina Beach, FL
  • NPI 1326419029
  NPD (past)
• Florida Psychological Associates, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fernandina, FL
  • NPI 1922496850
  NPD (past)

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

{
    "created_epoch": "1771804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1467306829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14050 INTEGRA DR APT 338",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322182571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALK WAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRECA",
        "first_name": "MARYBETH",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-02-23",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Stephen Bledsoe, PHARMD
• April Faizonia Blue-Moseley
• Jacob Blum, MD
• Danielle Susanne Blumer, RN, IBCLC
• Kwabena Boateng, PHARM.D.
• Rene K Botsoe
• Barton Bott, MH
• Nicole Boyce, LMHC
• Rockatonia Bradley
• Richard E. Braun, MD

• Mental Health Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, 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 Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.