Individual provider Active NPI

Annette R Maguire, M.S.

  • Counselor
  • Fernandina Beach, FL
National Provider Identifier
1497806186
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH 3725 Issued in FL
Practice address
1303 Jasmine St Ste 102
Fernandina Beach, FL 32034-2991
Phone
(904) 206-0734
Fax
(904) 491-0127
NPI assigned
Jan 16, 2007
Last updated
Mar 6, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH 3725 FL Primary
Marriage & Family Therapist 106H00000X MT 1590 FL

Addresses

Primary practice location

1303 Jasmine St Ste 102
Fernandina Beach, FL 32034-2991

Mailing address

PO Box 15106
Fernandina Beach, FL 32035-3102
Phone (904) 206-0734

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH 3725FLMDCounselor
MT 1590FLMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204761600000",
    "number": "1497806186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15106",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320353102",
            "telephone_number": "904-206-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1303 JASMINE ST STE 102",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320342991",
            "telephone_number": "904-206-0734",
            "fax_number": "904-491-0127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "ANNETTE",
        "middle_name": "R",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2008-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH 3725",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 1590",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.