Individual provider Active NPI

Rittie Ann Ragland, RMHCI,MCAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1689172587
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4720 S. Salisbury Rd Ste 103
Jacksonville, FL 32256-6101
Phone
(904) 608-9881
Fax
(904) 493-6026
NPI assigned
Jan 25, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

4720 S. Salisbury Rd Ste 103
Jacksonville, FL 32256-6101

Mailing address

4394 Jiggermast Ave
Jacksonville, FL 32277-1057
Phone (904) 616-0858

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

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516838400000",
    "number": "1689172587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4394 JIGGERMAST AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322771057",
            "telephone_number": "904-616-0858",
            "fax_number": "904-493-6026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 S. SALISBURY RD STE 103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566101",
            "telephone_number": "904-608-9881",
            "fax_number": "904-493-6026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGLAND",
        "first_name": "RITTIE",
        "middle_name": "ANN",
        "credential": "RMHCI,MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.