Individual provider Active NPI

Jeremiah Alberico

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1598257933
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16278 Issued in FL
Practice address
5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone
(352) 565-7518
Fax
(352) 565-4131
NPI assigned
Jun 1, 2018
Last updated
Aug 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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 NU
Mental Health Counselor 101YM0800X MH16278 FL Primary

Addresses

Primary practice location

5664 SW 60TH Ave
Ocala, FL 34474-5677

Mailing address

5664 SW 60TH Ave
Ocala, FL 34474-5677
Phone (352) 565-7518

Other practice location 1

4300 SW 13th St
Gainesville, FL 32608
Phone (352) 374-5600

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
I20240513002922 FL Practitioner - Mental Health Counselor 6709227424 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sma Healthcare, Inc CurrentSince May 1, 2024 Accepting new patients
Sma Healthcare Inc Current Accepting new patients
Sma Healthcare Inc CurrentSince May 1, 2024 Accepting new patients
Shine Medical Providers PC Past Accepting new patients
Sma Healthcare Inc Past Accepting new patients

Locations

301 Justice Ln
Bunnell, FL 32110
Phone (386) 236-1726

1220 Willis Ave
Daytona Beach, FL 32114
Phone (386) 236-3200

150 Magnolia Ave
Daytona Beach, FL 32114
Phone (386) 236-3215

107 Dr Martin Luther King Jr Ave
Ste 1
Inverness, FL 34450
Phone (352) 233-1814

5664 SW 60th Ave
Ocala, FL 34474
Phone (352) 291-5555

717 SW Mlk Jr Ave
Ocala, FL 34471
Phone (352) 291-5555

Interoperability endpoints

  • Direct secure messaging: midlevel.test.p1@direct.smahealthcare.nextgenshare.com

Organizations & group practices 5

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": "1527811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1598257933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745677",
            "telephone_number": "352-565-7518",
            "fax_number": "352-565-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5664 SW 60TH AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344745677",
            "telephone_number": "352-565-7518",
            "fax_number": "352-565-4131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 SW 13th St",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "FL",
            "postal_code": "32608",
            "country_code": "US",
            "telephone_number": "352-374-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALBERICO",
        "first_name": "JEREMIAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-01",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.