Individual provider Active NPI

Jeremy Demos, LPC, CSAC, ICS, NCC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1689320491
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23355 Issued in FL
Practice address
2955 SE 3Rd CT
Ocala, FL 34471-0441
Phone
(352) 374-5600
NPI assigned
Mar 2, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 16555 WI
Professional Counselor 101YP2500X 7896 WI
Mental Health Counselor 101YM0800X MH23355 FL Primary

Addresses

Primary practice location

2955 SE 3Rd CT
Ocala, FL 34471-0441

Mailing address

1501 Country Club LN
Watertown, WI 53098-4349
Phone (920) 342-1280

Other practice location 1

1501 Country Club Ln
Watertown, WI 53098-4349
Phone (920) 342-1280

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeremyjdemos@outlook.com Direct

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
I20250214001633 FL Practitioner - Mental Health Counselor 4880124288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Behavioral Healthcare IncGroup PAC ID 7517977812, 44 clinicians

Practice addresses (Care Compare)

1549 SW 13TH St
Gainesville, FL 32608-1113
Phone (352) 374-5600

4300 SW 13TH St
Gainesville, FL 32608-4006
Phone 35237456008210

4310 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

4316 SW 13TH St
Gainesville, FL 32608-4006
Phone (352) 374-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16555WIMDAddiction (Substance Use Disorder) Counselor
MH23355FLMDMental Health Counselor
7896WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Behavioral Healthcare, Inc. CurrentSince Jan 30, 2025 Accepting new patients
Meridian Behavioral Healthcare, Inc. CurrentSince Jan 30, 2025 Accepting new patients
Meridian Behavioral Healthcare, Inc. Multi-Specialty Current Accepting new patients

Locations

4300 SW 13th St
Gainesville, FL 32608

2955 SE 3rd Ct
Ocala, FL 34471
Phone (352) 509-9900

Organizations & group practices 3

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": "1646179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1689320491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 COUNTRY CLUB LN",
            "city": "WATERTOWN",
            "state": "WI",
            "postal_code": "530984349",
            "telephone_number": "920-342-1280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2955 SE 3RD CT",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344710441",
            "telephone_number": "352-374-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Country Club Ln",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "WI",
            "postal_code": "530984349",
            "country_code": "US",
            "telephone_number": "920-342-1280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEMOS",
        "first_name": "JEREMY",
        "credential": "LPC, CSAC, ICS, NCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WI",
            "license": "16555",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7896",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeremyjdemos@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1501 Country Club Ln",
            "city": "Watertown",
            "state": "WI",
            "country_code": "US",
            "postal_code": "530984349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.