Active NPI
Cheryl Ruth Pingel, LMHC
- Mental Health Counselor
- Macclenny, FL
National Provider Identifier
1639338361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9479
- Practice address
- 84 W Lowder St Ste C
Macclenny, FL 32063-2638 - Phone
- (904) 259-4671
- Fax
- (904) 259-5187
- NPI assigned
- Jun 6, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9479 | FL | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
84 W Lowder St Ste C
Macclenny, FL 32063-2638
Mailing address
84 W Lowder St Ste C
Macclenny, FL 32063-2638
Phone (904) 259-4671
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000459900 | Medicaid | FL | |
| 000903900 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH9479 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Children and Families | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Macclenny, FL
- NPI 1558445288
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1639338361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 W LOWDER ST STE C",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632638",
"telephone_number": "904-259-4671",
"fax_number": "904-259-5187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "84 W LOWDER ST STE C",
"city": "MACCLENNY",
"state": "FL",
"postal_code": "320632638",
"telephone_number": "904-259-4671",
"fax_number": "904-259-5187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINGEL",
"first_name": "CHERYL",
"middle_name": "RUTH",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-06",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9479",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000459900",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000903900",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Macclenny, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.