Michelle Nicole Barker, LMFT, MCAP, IC-ADC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4212 Issued in DC

Practice address

6639 Southpoint Pkwy Ste 108
Jacksonville, FL 32216-8042

Phone

(904) 891-5900

NPI assigned

Jul 28, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Michelle Nicole Barker Professional name

Medicare fee-for-service enrollment

Enrolled in FL, SC, GA3 enrollments

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 3

Specialty

Marriage and Family Therapist

Education

Other, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  GA, SC

  Medicare reassignment NPD
• Michelle Barker Counseling & Consulting Services, LLC

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1134074115

  Counselor

  NPD Authorized official

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

{
    "created_epoch": "1532736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1821576257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 61421",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322361421",
            "telephone_number": "904-891-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6639 SOUTHPOINT PKWY STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168042",
            "telephone_number": "904-891-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6034 Chester Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322172237",
            "country_code": "US",
            "telephone_number": "904-891-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BARKER",
        "first_name": "MICHELLE",
        "middle_name": "NICOLE",
        "credential": "LMFT, MCAP, IC-ADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-28",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP0100540",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "DC",
            "license": "MT4212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "BARKER",
            "middle_name": "NICOLE",
            "credential": "LMFT, MCAP, IC-ADC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Dorothy Jean Barker-Walker I
• Grant Patrick Barker
• Haley Oberhofer Barker, MD
• Mae R. Barker, PHD, BCBA-D
• Matthew David Barker, MD
• Theresa Lynne Barker
• Wayne S. Barker, DDS, FACP
• Thomas Anthony Barket, DDS
• Cynthia Elaine Barkley-Smith
• Christina Barksdale, QASPN

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.