Michael James Mijon, M.A.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH4290 Issued in FL

Practice address

222 Via Havarre
Merritt Island, FL 32953-2919

Phone

(321) 514-8817

NPI assigned

Sep 11, 2012

Last updated

Sep 11, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1548510134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 VIA HAVARRE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329532919",
            "telephone_number": "321-514-8817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 VIA HAVARRE",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329532919",
            "telephone_number": "321-514-8817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIJON",
        "first_name": "MICHAEL",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-09-11",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH4290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH, DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "4972685",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merritt Island RHF Housing, Inc (Courtenay Springs Village)
• Merritt Island Walk in Clinic LLC (Merritt Island Walk In Clinic Family Medicine)
• Merritt Island Walk-in Clinic LLC
• Donald Peter Messersmith, MD
• Mi SNF Opco LLC (The Terrace at Courtenay Springs)
• Milarn Corporation (Arnold Primary Care)
• Mary Claire Milburn, DPT
• Taylor Milenkovic
• Dawn Marie Miller, COTA/L
• Donald Tegeler Miller

• Mental Health Counselor in Merritt Island, FL
• Providers in Merritt Island, 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 Sep 11, 2012; 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.