Active NPI
Noelle Pomeroy, PHD, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1851715080
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12328
- Practice address
- 12443 San Jose Blvd
Suite 202
Jacksonville, FL 32223-8646 - Phone
- (904) 383-7613
- NPI assigned
- Feb 7, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12328 | FL | Primary |
Addresses
Primary practice location
12443 San Jose Blvd
Suite 202
Jacksonville, FL 32223-8646
Mailing address
12443 San Jose Blvd
Suite 202
Jacksonville, FL 32223-8646
Phone (904) 383-7613
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Previously, effective Aug 1, 2024 through Aug 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH12328 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467072000000",
"number": "1851715080",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12443 SAN JOSE BLVD",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238646",
"telephone_number": "904-383-7613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 SAN JOSE BLVD",
"address_2": "SUITE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238646",
"telephone_number": "904-383-7613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POMEROY",
"first_name": "NOELLE",
"credential": "PHD, LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-07",
"last_updated": "2016-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12328",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.