Individual provider Active NPI

Mary Alice Taylor, RMHCI

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1801446257
Registry record updated Nov 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8777 San Jose Blvd Ste 801
Jacksonville, FL 32217-4291
Phone
(904) 374-6403
NPI assigned
Sep 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2021

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 Primary

Addresses

Primary practice location

8777 San Jose Blvd Ste 801
Jacksonville, FL 32217-4291

Mailing address

8777 San Jose Blvd Ste 801
Jacksonville, FL 32217-4291
Phone (904) 374-6403

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
I20250203002036 FL Practitioner - Mental Health Counselor 7012446206 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4025 Lonicera Loop
St Johns, FL 32259-4533

9770 Baymeadows Rd
Suite 133
Jacksonville, FL 32256-7986
Phone (904) 689-2162

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Just Breathe Counseling LLC Mental Health CurrentSince Dec 29, 2024 Accepting new patients
Florida Children's Institute PastSince Nov 9, 2021 Accepting new patients
Florida Childrens Institute PastSince Nov 9, 2021 Accepting new patients

Locations

9770 Old Baymeadows Rd
Ste 133
Jacksonville, FL 32256
Phone (904) 479-5863

Organizations & group practices 3

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": "1568764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636070400000",
    "number": "1801446257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174291",
            "telephone_number": "904-374-6403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 SAN JOSE BLVD STE 801",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174291",
            "telephone_number": "904-374-6403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "MARY",
        "middle_name": "ALICE",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-18",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.