Active NPI
Magnolia Hood, LMHC
- Mental Health Counselor
- Tallahassee, FL
National Provider Identifier
1528450467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16315
- Practice address
- 1126 Lee Ave
Tallahassee, FL 32303-6508 - Phone
- (618) 203-3448
- Fax
- (813) 435-2258
- NPI assigned
- Mar 2, 2015
- Last updated
- Oct 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16315 | FL | Primary |
| Professional Counselor | 101YP2500X | 180.009471 | IL |
Addresses
Primary practice location
1126 Lee Ave
Tallahassee, FL 32303-6508
Mailing address
1126 Lee Ave
Tallahassee, FL 32303-6508
Phone (618) 203-3448
Other practice location 1
902 W Main St
West Frankfort, IL 62896-2210
Phone (618) 937-6483 ext. 7565
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH16315 | FL | MD | Mental Health Counselor |
| 180.009471 | IL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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": "1425254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538524800000",
"number": "1528450467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1126 LEE AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036508",
"telephone_number": "618-203-3448",
"fax_number": "813-435-2258"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1126 LEE AVE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323036508",
"telephone_number": "618-203-3448",
"fax_number": "813-435-2258"
}
],
"practiceLocations": [
{
"address_1": "902 W Main St",
"address_purpose": "LOCATION",
"city": "West Frankfort",
"state": "IL",
"postal_code": "628962210",
"country_code": "US",
"telephone_number": "618-937-6483 x7565",
"fax_number": "618-937-1440",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOOD",
"first_name": "MAGNOLIA",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-02",
"last_updated": "2018-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16315",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "IL",
"license": "180.009471",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2018; 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.