Individual provider Active NPI

Mercy Oibo

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1669480638
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7369 Issued in FL
Practice address
1730 SW 1St Ave
Ocala, FL 34471-8170
Phone
(352) 622-4888
Fax
(352) 694-4884
NPI assigned
Aug 4, 2006
Last updated
Oct 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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 7369 FL Primary

Addresses

Primary practice location

1730 SW 1St Ave
Ocala, FL 34471-8170

Mailing address

PO Box 36
Ocala, FL 34478-0036
Phone (352) 622-4888

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
I20240219001523 FL Practitioner - Mental Health Counselor 4284632357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1730 SW 1St Ave
Ocala, FL 34471-8170
Phone (352) 622-4888

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7369FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Destiny Adult & Children Counseling Ctr CurrentSince Jan 24, 2024 Accepting new patients
Destiny Medical Associates, Inc. Current Accepting new patients

Locations

150 SE 17th St
Ste 801
Ocala, FL 34471
Phone (352) 237-7646

1730 SW 1st Ave
Ocala, FL 34471
Phone (352) 622-4888

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBEBDA

Organizations & group practices 2

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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1669480638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344780036",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 SW 1ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344718170",
            "telephone_number": "352-622-4888",
            "fax_number": "352-694-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OIBO",
        "first_name": "MERCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "7369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.