Active NPI
Becky Starr Meidling, MT-BC, CAP, LMHC
- Counselor
- Jacksonville, FL
National Provider Identifier
1790080141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH 7717
- Practice address
- 800 Prudential Dr
Howard 510
Jacksonville, FL 32207-8202 - Phone
- (904) 202-4518
- Fax
- (904) 202-2436
- NPI assigned
- Jan 17, 2011
- Last updated
- Jan 17, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH 7717 | FL | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 2552W | FL |
Addresses
Primary practice location
800 Prudential Dr
Howard 510
Jacksonville, FL 32207-8202
Mailing address
800 Prudential Dr
Howard 510
Jacksonville, FL 32207-8202
Phone (904) 202-4518
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 |
|---|---|---|---|
| MH 7717 | FL | MD | Counselor |
| 2552W | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295222400000",
"number": "1790080141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"address_2": "HOWARD 510",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078202",
"telephone_number": "904-202-4518",
"fax_number": "904-202-2436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 PRUDENTIAL DR",
"address_2": "HOWARD 510",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078202",
"telephone_number": "904-202-4518",
"fax_number": "904-202-2436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEIDLING",
"first_name": "BECKY",
"middle_name": "STARR",
"name_prefix": "Mrs.",
"credential": "MT-BC, CAP, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-01-17",
"last_updated": "2011-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH 7717",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "2552W",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.