Individual provider Active NPI

Douglass Adrien Lobo, LMHC

  • Mental Health Counselor
  • Saint Augustine, FL
National Provider Identifier
1861990723
Registry record updated Nov 5, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
4924 Medoras Ave
Saint Augustine, FL 32080-7170
Phone
(305) 803-7528
NPI assigned
Jan 25, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH-4113 FL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

4924 Medoras Ave
Saint Augustine, FL 32080-7170

Mailing address

4924 Medoras Ave
Saint Augustine, FL 32080-7170
Phone (305) 803-7528

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
I20240417003958 FL Practitioner - Mental Health Counselor 0749629111 Reassigns benefits to 3 organizations
Practice locations: Jacksonville, FL; Saint Augustine, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mental Health Specialty Group PAGroup PAC ID 8921466228, 726 clinicians

Practice addresses (Care Compare)

Lake Worth, FL 33461
Phone (323) 205-7088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH-4113FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A & B Counseling Services LLC CurrentSince Apr 1, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Mental Health Current Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince Mar 1, 2025 Accepting new patients
Clay Physical Therapy PA Past Accepting new patients
A & B Counseling LLC PastSince Apr 1, 2024 Accepting new patients
The Arc Jacksonville, Inc. PastSince Feb 1, 2023 Accepting new patients

Locations

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

Interoperability endpoints

  • Direct secure messaging: douglasslobo@tdh.allscriptsdirect.net

Organizations & group practices 7

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1861990723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4924 MEDORAS AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807170",
            "telephone_number": "305-803-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4924 MEDORAS AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320807170",
            "telephone_number": "305-803-7528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOBO",
        "first_name": "DOUGLASS",
        "middle_name": "ADRIEN",
        "name_prefix": "Dr.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH-4113",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Augustine, FL

Sources for this page

Verify at the official NPI Registry.