Mark Phillip Pitts, CAP, CCJAP

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

17356 US Highway 301 N
Starke, FL 32091-1619

Phone

(904) 827-7150

NPI assigned

Oct 8, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• The Transition House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Saint Cloud, FL
  • NPI 1942364062

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1669947552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6629 VIRGINIA BEACH LANE",
            "city": "KEYSTONE HEIGHTS",
            "state": "FL",
            "postal_code": "32656",
            "telephone_number": "352-475-2517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17356 US HIGHWAY 301 N",
            "city": "STARKE",
            "state": "FL",
            "postal_code": "320911619",
            "telephone_number": "904-827-7150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTS",
        "first_name": "MARK",
        "middle_name": "PHILLIP",
        "name_prefix": "Mr.",
        "credential": "CAP, CCJAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-10-08",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Louise Perantoni, ARNP, MSN, BC
• Gabrielle Perez, PA-C
• Desaray D Perkins, APRN
• Physical Therapy and Rehabilitation Clinic Inc
• Physician Care Inc
• Jenifer Marie Presnick, OD
• Purpose Behavioral Health Center, LLC
• Rapha Kidney Center PLLC
• Judith Ann Razzano
• Aryn Cameron Ricardo

• Addiction (Substance Use Disorder) Counselor in Starke, FL
• Providers in Starke, FL by specialty
• Addiction (Substance Use Disorder) Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.