Individual provider Active NPI

Melissa A Meyer, MS, CRC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1790468015
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23719 Issued in FL
Practice address
6950 Philips Hwy Ste 11
Jacksonville, FL 32216-6082
Phone
(904) 239-3677
Fax
(904) 866-4029
NPI assigned
Aug 11, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23719 FL Primary

Addresses

Primary practice location

6950 Philips Hwy Ste 11
Jacksonville, FL 32216-6082

Mailing address

PO Box 54723
Jacksonville, FL 32245-4723
Phone (904) 239-3677

Other practice location 1

820 Prudential Dr Ste 512
Jacksonville, FL 32207-8207
Phone (904) 376-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240520002071 FL Practitioner - Mental Health Counselor 1557703766 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians

Practice addresses (Care Compare)

820 Prudential Dr
Suite 512
Jacksonville, FL 32207-8207
Phone (904) 376-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH23719FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Behavioral Health, LLC Mental Health CurrentSince Jun 30, 2025 Accepting new patients
Gauler & Associates, PLLC CurrentSince May 6, 2024 Accepting new patients

Locations

820 Prudential Dr
Ste 512
Jacksonville, FL 32207
Phone (904) 202-7900

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

13111 Atlantic Blvd
Unit 2
Jacksonville, FL 32225
Phone (904) 239-3677

6950 Philips Hwy
Ste 11
Jacksonville, FL 32216
Phone (904) 239-3677

3650 NW Devane St
Lake City, FL 32055
Phone (386) 755-1221

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1691712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1790468015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 54723",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322454723",
            "telephone_number": "904-239-3677",
            "fax_number": "904-866-4029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6950 PHILIPS HWY STE 11",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322166082",
            "telephone_number": "904-239-3677",
            "fax_number": "904-866-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "820 Prudential Dr Ste 512",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "MELISSA",
        "middle_name": "A",
        "credential": "MS, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-11",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.