Fonda E Mosal, DMFT, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16404 Issued in FL

Practice address

155 Bartram Market Dr Ste 135-169
Saint Johns, FL 32259-4581

Phone

(904) 373-8516

NPI assigned

Feb 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Life Symphony Therapy, LLC

  • Mental Health Counselor
  • Saint Johns, FL
  • NPI 1871238832
  NPD Authorized official

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

{
    "created_epoch": "1550016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644278400000",
    "number": "1821554981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-169",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-373-8516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135-169",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594581",
            "telephone_number": "904-373-8516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSAL",
        "first_name": "FONDA",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DMFT, LMHC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-13",
        "last_updated": "2022-02-08",
        "certification_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weston Blake Mills, PA-C
• Felix Mitchell II, PHARMD
• Modern Day Dental
• Pamela H Montano, PA
• Kristin Moore
• Casey Lloyd Mothershed
• Nicolas Brandon Moya del Pino, M.D.
• Rosemary Munoz, RPH
• Michele Karen Murphy, DPT
• Kelly Musgrove

• Mental Health Counselor in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; 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.