Individual provider Active NPI

Julie Margarita Smith, LMHC, CAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1588160303
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH15745 Issued in FL
Practice address
10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566
Phone
(904) 906-6754
NPI assigned
Apr 2, 2018
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 5422 FL
Mental Health Counselor 101YM0800X 15745 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH15745 FL Primary

Addresses

Primary practice location

10151 Deerwood Park Blvd Ste 250
Jacksonville, FL 32256-0566

Mailing address

10075 Gate Pkwy N Apt 202
Jacksonville, FL 32246-4415
Phone (904) 322-1232

Other practice location 1

720 Seabrook Pkwy
Jacksonville, FL 32211-7153
Phone (904) 322-1232

Other practice location 2

10075 Gate Pkwy N Apt 202
Jacksonville, FL 32246-4415
Phone (904) 906-6754

Other names 1

  • Julie Margarita Clifford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20260612002580 GA Practitioner - Mental Health Counselor 3678910502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
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

LicenseStateTypeSpecialty
5422FLMDAddiction (Substance Use Disorder) Counselor
15745FLMDMental Health Counselor
MH15745FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lumos Mental Health, PLLC Mental Health CurrentSince May 26, 2024 Accepting new patients

Locations

7643 Gate Pkwy
Ste 1041381
Jacksonville, FL 32256

Organizations & group practices 2

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": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1588160303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10075 GATE PKWY N APT 202",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464415",
            "telephone_number": "904-322-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10151 DEERWOOD PARK BLVD STE 250",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560566",
            "telephone_number": "904-906-6754"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Seabrook Pkwy",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322117153",
            "country_code": "US",
            "telephone_number": "904-322-1232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10075 Gate Pkwy N Apt 202",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322464415",
            "country_code": "US",
            "telephone_number": "904-906-6754",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JULIE",
        "middle_name": "MARGARITA",
        "credential": "LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "5422",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "15745",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "CLIFFORD",
            "middle_name": "MARGARITA",
            "credential": "LMHC, CAP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.