Michael A Malone, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16615 Issued in FL

Practice address

1217 Springhealth CT
St Augustine, FL 32092-2460

Phone

(904) 945-4593

NPI assigned

Dec 28, 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

Other identifiers 1

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

Specialty

Mental Health Counselor

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Florida Post Acute Medical Services 1 PAGroup PAC ID 2567729395, 57 clinicians

Ca Pacs 2 Medical Group IncGroup PAC ID 4981954476, 27 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Florida Post Acute Medical Services 1 PA

  • Hospitalist Physician
  • Tampa, FL
  • NPI 1255862439
  Medicare reassignment Care Compare group NPD
• Ca Pacs 2 Medical Group Inc

  • Hospitalist Physician
  • San Leandro, CA
  • NPI 1801372669

  FL

  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment NPD
• CS Pacs 3 Southeast, LLC

  • Hospitalist Physician
  • Bluefield, WV
  • NPI 1154104958

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1545955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545955200000",
    "number": "1730651977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 SPRINGHEALTH CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922460",
            "telephone_number": "904-945-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 SPRINGHEALTH CT",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922460",
            "telephone_number": "904-945-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-28",
        "last_updated": "2018-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16615",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LMHC",
            "identifier": "MH16615",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Mailly, ARNP
• Mainland Physicians Group LLC
• Reina Malcolm
• Elyssa Male, M.S. CCC-SLP
• Amir A Malik, MD
• Elizabeth Maltby
• Diana Hope Manderson, APRN
• Mandic Group Inc
• Dennis Maneja
• Monali Manikal, M.D

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.