Individual provider Active NPI

Halie Banaghan, MA

  • Mental Health Counselor
  • New Smyrna, FL
National Provider Identifier
1851254411
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH25421 Issued in FL
Practice address
136 Julia St
New Smyrna, FL 32168-7713
Phone
(386) 423-9161
Fax
(386) 423-3094
NPI assigned
Dec 9, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 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 CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X IMH25421 FL Primary

Addresses

Primary practice location

136 Julia St
New Smyrna, FL 32168-7713

Mailing address

136 Julia St
New Smyrna, FL 32168-7713
Phone (286) 423-9161

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
I20260302002843 FL Practitioner - Mental Health Counselor 4486136207 Practice locations: New Smyrna Beach, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

136 Julia St
Unit 100
New Smyrna Beach, FL 32168-7713
Phone (386) 423-9161

250 Webster St
Lake Helen, FL 32744-3359

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
IMH25421FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Refresh Health NP PastSince Dec 14, 2025 Accepting new patients

Organizations & group practices 1

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": "1765238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765238400000",
    "number": "1851254411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 JULIA ST",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "286-423-9161",
            "fax_number": "386-423-3094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 JULIA ST",
            "city": "NEW SMYRNA",
            "state": "FL",
            "postal_code": "321687713",
            "telephone_number": "386-423-9161",
            "fax_number": "386-423-3094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANAGHAN",
        "first_name": "HALIE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-09",
        "last_updated": "2025-12-09",
        "certification_date": "2025-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH25421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Smyrna, FL

Sources for this page

Verify at the official NPI Registry.