Dina Leah Ricco, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9517 Issued in FL

Practice address

11820 Beach Boulevard
Jacksonville, FL 32246-6670

Phone

(904) 743-1858

Fax

(904) 743-5109

NPI assigned

Oct 30, 2008

Last updated

Mar 19, 2012By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mental Health Resource Center Inc

  • Community Health Clinic/Center
  • Jacksonville, FL
  • NPI 1851407365
  NPD (past)

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

{
    "created_epoch": "1225324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332115200000",
    "number": "1750534095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 19249",
            "address_2": "ATTENTION SANDY WILLINGER",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459249",
            "telephone_number": "904-743-1858",
            "fax_number": "904-743-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 BEACH BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322466670",
            "telephone_number": "904-743-1858",
            "fax_number": "904-743-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICCO",
        "first_name": "DINA",
        "middle_name": "LEAH",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-30",
        "last_updated": "2012-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767161000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ricardo F Izurieta MD PA
• Emily Ricardo, PT, DPT
• Rebecca Mahan Ricchi, NURSE PRACTITTIONER
• Azmia Ricchuito Abusoad, MSW/LCSW
• Tessa M Ricci, MD
• Sonya Leigh Rice Thompson, M.D.
• David Allbritton Rice, M.D.
• David V Rice, MD
• George William Rice III
• Jakeila Lyn Rice

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.