Darlene Nicole Amesbury, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH 9421 Issued in FL

Practice address

3574 US 1 S
Suite 113
St Augustine, FL 32086-6466

Phone

(904) 797-3115

Fax

(904) 797-2915

NPI assigned

Oct 19, 2011

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1851676019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3574 US 1 S",
            "address_2": "SUITE 113",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866466",
            "telephone_number": "904-797-3115",
            "fax_number": "904-797-2915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3574 US 1 S",
            "address_2": "SUITE 113",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866466",
            "telephone_number": "904-797-3115",
            "fax_number": "904-797-2915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMESBURY",
        "first_name": "DARLENE",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH 9421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in St Augustine, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.