Individual provider Active NPI

Joseph C Roy, LMHC, CAP, ICADC

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1598005456
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11654 Issued in FL
Practice address
409 Eleventh St
St Augustine, FL 32084-1474
Phone
(904) 347-4162
Fax
(904) 209-5132
NPI assigned
Feb 28, 2013
Last updated
Jul 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 18, 2024

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 MH11654 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X 3138 FL

Addresses

Primary practice location

409 Eleventh St
St Augustine, FL 32084-1474

Mailing address

409 Eleventh St
St Augustine, FL 32084-1474
Phone (904) 347-4162

Other practice location 1

2225 A1A S Ste B5
St Augustine, FL 32080-7906
Phone (904) 347-4162

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
I20241108002339 FL Practitioner - Mental Health Counselor 5395279699 Practice locations: St Augustine, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2225 A1A
Suite B5
St Augustine, FL 32080-7906
Phone (904) 347-4162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3138FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1598005456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 ELEVENTH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841474",
            "telephone_number": "904-347-4162",
            "fax_number": "904-209-5132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 ELEVENTH ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320841474",
            "telephone_number": "904-347-4162",
            "fax_number": "904-209-5132"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2225 A1A S Ste B5",
            "address_purpose": "LOCATION",
            "city": "St Augustine",
            "state": "FL",
            "postal_code": "320807906",
            "country_code": "US",
            "telephone_number": "904-347-4162",
            "fax_number": "904-209-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROY",
        "first_name": "JOSEPH",
        "middle_name": "C",
        "credential": "LMHC, CAP, ICADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-28",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11654",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "3138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.