NPIMap

Organization Active NPI

Stone Ridge Counseling Center Inc

  • Mental Health Counselor
  • Pensacola, FL
National Provider Identifier
1710134721
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH4384 Issued in FL
Legal business name
STONE RIDGE COUNSELING CENTER INC
Practice address
9013 University Parkway
Suite C
Pensacola, FL 32514-9416
Phone
(850) 478-7800
Fax
(850) 478-7802
NPI assigned
Aug 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Melissa Adams, LMHCNPI 1285620823
Title
President
Phone
(850) 478-7800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH4384 FL Primary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH1920 FL
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X SW3595 FL
School Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041S0200X SW3077 FL

Addresses

Primary practice location

9013 University Parkway
Suite C
Pensacola, FL 32514-9416

Mailing address

9013 University Parkway
Suite C
Pensacola, FL 32514-9416
Phone (850) 478-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090312000031 FL Part B Supplier - Clinic/Group Practice 0840356127 Receives reassigned benefits from 4 practitioners
Practice locations: Pensacola, FL

National Provider Directory

National Provider Directory

Locations

9013 University Pkwy
Ste C
Pensacola, FL 32514
Phone (850) 380-8320

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1710134721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PARKWAY",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-478-7800",
            "fax_number": "850-478-7802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9013 UNIVERSITY PARKWAY",
            "address_2": "SUITE C",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325149416",
            "telephone_number": "850-478-7800",
            "fax_number": "850-478-7802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STONE RIDGE COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-478-7800",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4384",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH1920",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW3595",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, School",
            "state": "FL",
            "license": "SW3077",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.