Jacqueline Rita, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

11788 Issued in FL

Practice address

211 E International Speedway Blvd Ste 107
Daytona Beach, FL 32118-4662

Phone

(401) 486-6081

Fax

(386) 401-2414

NPI assigned

Dec 8, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Jacqueline Rita Professional name

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

Specialty

Mental Health Counselor

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group NPD
• Jacqueline M Rita LMHC LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Daytona Beach, FL
  • NPI 1356137699
  Medicare reassignment NPD Authorized official
• Nova Mental Health Solutions

  • Mental Health Counselor
  • Orange City, FL
  • NPI 1952196099
  NPD (past)

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740960000000",
    "number": "1598740896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 RUTHBERN RD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145961",
            "telephone_number": "401-486-6081",
            "fax_number": "386-401-2414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 E INTERNATIONAL SPEEDWAY BLVD STE 107",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321184662",
            "telephone_number": "401-486-6081",
            "fax_number": "386-401-2414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RITA",
        "first_name": "JACQUELINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "11788",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "RI",
            "license": "00222",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "27972-1",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP",
            "identifier": "412090",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "JR36967",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "RITA",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Mark Allen Riner, M.D.
• Holly Ringhauser, D.O.
• Jodi Lyn Rintelman Lawhorn, PHARMD
• Jessica Riotti
• Jon Jorge Risovas
• Colleen Ritchie
• Luke Tristan Ritter
• Jessica Lee Rivera, PTA
• Samantha Briskie Rivera
• Riley Rivers, STUDENT

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.