Individual provider Active NPI

Doreen Vargas

  • Mental Health Counselor
  • Live Oak, FL
National Provider Identifier
1508170481
Registry record updated Apr 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15808 Issued in FL
Practice address
920 Nobles Ferry Rd
Live Oak, FL 32064-8463
Phone
(352) 374-5600
NPI assigned
Aug 3, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X MH15808 FL Primary

Addresses

Primary practice location

920 Nobles Ferry Rd
Live Oak, FL 32064-8463

Mailing address

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

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
I20241127001002 FL Practitioner - Mental Health Counselor 2365977303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meridian Behavioral Healthcare Inc 44 clinicians

Practice addresses (Care Compare)

1549 SW 13TH St
Gainesville, FL 32608-1113
Phone (352) 374-5600

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone 35237456008210

4310 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

4316 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH15808FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 19, 2024 Accepting new patients
Meridian Behavioral Healthcare, Inc. Current Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Nov 19, 2024 Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

406 10th Ave NW
Jasper, FL 32052
Phone (386) 792-1338

920 Nobles Ferry Rd
Live Oak, FL 32064
Phone (386) 362-4218

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1280793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1508170481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326084006",
            "telephone_number": "352-374-5600",
            "fax_number": "352-374-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 NOBLES FERRY RD",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320648463",
            "telephone_number": "352-374-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VARGAS",
        "first_name": "DOREEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-03",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, FL

Sources for this page

Verify at the official NPI Registry.