Organization Active NPI

Julie Mergl, Inc.

  • Adult Mental Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1568018133
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
JULIE MERGL, INC.
Practice address
6100 Greenland Rd Ste 302
Jacksonville, FL 32258-2626
Phone
(904) 366-9617
NPI assigned
Aug 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Ms. Julie D Mergl, LMHCNPI 1427299320
Title
President
Phone
(904) 466-1253

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

6100 Greenland Rd Ste 302
Jacksonville, FL 32258-2626

Mailing address

3895 Tar Kiln Rd
Jacksonville, FL 32223-2097
Phone (904) 366-9617

Other identifiers 1

IdentifierTypeStateIssuer
1427299320OtherFLNPI

National Provider Directory

National Provider Directory

Locations

6100 Greenland Rd
Ste 302
Jacksonville, FL 32258
Phone (904) 366-9617

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1568018133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3895 TAR KILN RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232097",
            "telephone_number": "904-366-9617",
            "fax_number": "904-886-4017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 GREENLAND RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582626",
            "telephone_number": "904-366-9617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JULIE MERGL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-10",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "MERGL",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-466-1253",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1427299320",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.