Active NPI
Rebecca Mawn Miller, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1770336778
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 22198
- Practice address
- 4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187 - Phone
- (646) 941-7645
- NPI assigned
- Apr 9, 2024
- Last updated
- Apr 9, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 22198 | FL | Primary |
Addresses
Primary practice location
4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Mailing address
2826 Hunt Club LN
Orlando, FL 32826-3912
Phone (321) 749-1857
Other names 1
- Rebecca Elizabeth Mawn
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 |
|---|---|---|---|
| 22198 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712620800000",
"number": "1770336778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2826 HUNT CLUB LN",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328263912",
"telephone_number": "321-749-1857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4651 SALISBURY RD STE 400",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322566187",
"telephone_number": "646-941-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "REBECCA",
"middle_name": "MAWN",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-09",
"certification_date": "2023-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "22198",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "MAWN",
"middle_name": "ELIZABETH",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.