Active NPI
Krista White
- Mental Health Counselor
- Neptune Beach, FL
National Provider Identifier
1740933076
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20921
- Practice address
- 800 3Rd St Ste B
Neptune Beach, FL 32266-5060 - Phone
- (904) 292-6318
- NPI assigned
- Jan 27, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH20921 | FL | Primary |
| Mental Health Counselor | 101YM0800X | IMH19165 | FL |
Addresses
Primary practice location
800 3Rd St Ste B
Neptune Beach, FL 32266-5060
Mailing address
800 3Rd St Ste B
Neptune Beach, FL 32266-5060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH19165 | FL | MD | Mental Health Counselor |
| MH20921 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643241600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663286400000",
"number": "1740933076",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 3RD ST STE B",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 3RD ST STE B",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322665060",
"telephone_number": "904-292-6318"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KRISTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-27",
"last_updated": "2022-09-16",
"certification_date": "2022-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20921",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH19165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Neptune Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.