Individual provider Active NPI

Mary Emerson-Follick, LMHC, MCAP

  • Counselor
  • Jacksonville, FL
National Provider Identifier
1689252314
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH17899 Issued in FL
Practice address
4916 Empire Ave
Jacksonville, FL 32207-2138
Phone
(904) 870-8322
NPI assigned
Apr 1, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH17899 FL Primary

Addresses

Primary practice location

4916 Empire Ave
Jacksonville, FL 32207-2138

Mailing address

1200 Riverplace Blvd
Suite 105-1078
Jacksonville, FL 32207-9092
Phone (904) 870-8322

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
I20240502002117 FL Practitioner - Mental Health Counselor 4284012410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
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)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17899FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Direct Access Counseling & Supportive Services, LLC Counselor CurrentSince Apr 22, 2024 Accepting new patients
Grow Healthcare Group PA CurrentSince Jul 16, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1689252314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 RIVERPLACE BLVD",
            "address_2": "SUITE 105-1078",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079092",
            "telephone_number": "904-870-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4916 EMPIRE AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322072138",
            "telephone_number": "904-870-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMERSON-FOLLICK",
        "first_name": "MARY",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-01",
        "last_updated": "2026-09-20",
        "certification_date": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH17899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.