Individual provider Active NPI

Noemi Ortiz-Arzuaga, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1598061814
Registry record updated Sep 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH10367 Issued in FL
Practice address
8825 Perimeter Park Blvd Ste 601
Jacksonville, FL 32216-1122
Phone
(904) 705-1101
NPI assigned
Feb 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH10367 FL Primary

Addresses

Primary practice location

8825 Perimeter Park Blvd Ste 601
Jacksonville, FL 32216-1122

Mailing address

2621 Canyon Falls Dr
Jacksonville, FL 32224-4835
Phone (904) 992-7214

Other names 1

  • Noemi Ortiz Lynn Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH10367FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Transformational Counseling Mental Health CurrentSince Dec 13, 2020 Accepting new patients

Locations

8825 Perimeter Park Blvd
Ste 601
Jacksonville, FL 32216
Phone (904) 419-7327

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600992000000",
    "number": "1598061814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2621 CANYON FALLS DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322244835",
            "telephone_number": "904-992-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161122",
            "telephone_number": "904-705-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ-ARZUAGA",
        "first_name": "NOEMI",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-03",
        "last_updated": "2020-09-25",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NOEMI",
            "last_name": "LYNN",
            "middle_name": "ORTIZ",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Sep 25, 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.