Individual provider Active NPI

Stuart F. Whitlow, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1740447739
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9449 Issued in FL
Practice address
8130 Baymeadows Cir W
Suite 310
Jacksonville, FL 32256-1880
Phone
(904) 733-7275
NPI assigned
May 19, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9449 FL Primary

Addresses

Primary practice location

8130 Baymeadows Cir W
Suite 310
Jacksonville, FL 32256-1880

Mailing address

5174 Julington Forest LN
Jacksonville, FL 32258-3455
Phone (904) 379-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20240604004122 AR Practitioner - Mental Health Counselor 2567811482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3111 S 70TH St
Fort Smith, AR 72903-5017
Phone (479) 452-6650

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH9449FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Counseling & Guidance Center, Inc CurrentSince Apr 16, 2024 Accepting new patients
The Guidance Center - Whole Health Mental Health CurrentSince Apr 16, 2024 Accepting new patients
Peggi S Wegener Eds Inc Mental Health Past Accepting new patients

Locations

174 N Welsh Ave
Booneville, AR 72927
Phone (479) 675-3909

311 S Central St
Clarksville, AR 72830
Phone (479) 754-0277

418 S 17th St
Fort Smith, AR 72901
Phone (479) 478-6664

3111 S 70th St
Fort Smith, AR 72903

3113 S 70th St
Fort Smith, AR 72903
Phone (479) 478-6664

3109 S 70th St
Fort Smith, AR 72903
Phone (479) 452-9490

307 Cherry St
Mena, AR 71953
Phone (479) 394-5277

415 S 6th St
Paris, AR 72855
Phone (479) 963-2140

2705B Oak Ln
Van Buren, AR 72956
Phone (479) 471-5950

1857 Rice St
Waldron, AR 72958
Phone (479) 637-2468

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": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1740447739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5174 JULINGTON FOREST LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322583455",
            "telephone_number": "904-379-2999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8130 BAYMEADOWS CIR W",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561880",
            "telephone_number": "904-733-7275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITLOW",
        "first_name": "STUART",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.