Mental Health Jax

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

MH5145 Issued in FL

Legal business name

MENTAL HEALTH JAX

Practice address

8825 Perimeter Park Blvd
Jacksonville, FL 32216-1108

Phone

(904) 860-8749

NPI assigned

Sep 29, 2017

Organization subpart

No

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

Authorized official

Name

Margaret M Ghee, LMHC

Title

Owner

Phone

(904) 860-8749

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1780193094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16927 ETHEL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322181107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8825 PERIMETER PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161108",
            "telephone_number": "904-860-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH JAX",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "GHEE",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-860-8749",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "MH5145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1639203722",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmanuel Kwasi Mensah, MD
• Christopher Edward Menster, PA-C
• Mental Health America of Northeast Florida, Inc.
• Mental Health Center of Jacksonville, Inc.
• Mental Health Hygiene and Wellness Clinic, 'LLC'
• Mental Health Resource Center Inc
• Mental Health Resource Center Inc
• Mental Health Resource Center Inc
• Mental Health Services of Florida, Inc.
• Kenzie Mente

• All providers in Jacksonville, FL
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; 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.