Individual provider Active NPI

Misti Demko, MED

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1518655182
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH23868 Issued in FL
Practice address
2008 Riverside Ave Ste 100
Jacksonville, FL 32204-4439
Phone
(912) 674-5698
NPI assigned
May 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH23868 FL Primary
Mental Health Counselor 101YM0800X IMH23840 FL

Addresses

Primary practice location

2008 Riverside Ave Ste 100
Jacksonville, FL 32204-4439

Mailing address

2008 Riverside Ave Ste 100
Jacksonville, FL 32204-4439
Phone (912) 674-5698

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
I20250211001411 FL Practitioner - Mental Health Counselor 8123558822 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

1200 Riverplace Blvd
Jacksonville, FL 32207-9092
Phone (912) 674-5698

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
IMH23840FLMDMental Health Counselor
IMH23868FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Jan 21, 2025 Accepting new patients
Demko Counseling LLC Mental Health CurrentSince Feb 6, 2025 Accepting new patients
Authentic Self Counseling of Jacksonville, LLC Mental Health CurrentSince May 7, 2023 Accepting new patients

Locations

3733 University Blvd W
Ste 203
Jacksonville, FL 32217
Phone (904) 536-8589

2008 Riverside Ave
Ste 100
Jacksonville, FL 32204
Phone (904) 536-8589

1200 Riverplace Blvd
Ste 105
Jacksonville, FL 32207
Phone (904) 720-5689

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785715200000",
    "number": "1518655182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 RIVERSIDE AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044439",
            "telephone_number": "912-674-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 RIVERSIDE AVE STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044439",
            "telephone_number": "912-674-5698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMKO",
        "first_name": "MISTI",
        "credential": "MED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23868",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23840",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.