Active NPI
Meghan Bridget Owenz, PH.D., ABPP
- Counseling Psychologist
- Saint Augustine, FL
National Provider Identifier
1902010325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 12447
- Practice address
- 416 Paseo Reyes Dr
Saint Augustine, FL 32095-8558 - Phone
- (904) 373-8871
- NPI assigned
- May 9, 2007
- 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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 12447 | FL | Primary |
Addresses
Primary practice location
416 Paseo Reyes Dr
Saint Augustine, FL 32095-8558
Mailing address
101 Marketside Ave
Suite 404, Box 172
Ponte Vedra, FL 32081
Phone (904) 373-8871
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2025 through May 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12447 | FL | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parent Psych LLC | Current | Accepting new patients |
Locations
101 Marketside Ave
Ste 404
Ponte Vedra, FL 32081
416 Paseo Reyes Dr
St Augustine, FL 32095
Phone (904) 351-8136
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.
-
- Adult Mental Health Clinic/Center
- Saint Augustine, FL
- NPI 1194547190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1902010325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 MARKETSIDE AVE",
"address_2": "SUITE 404, BOX 172",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "32081",
"telephone_number": "904-373-8871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "416 PASEO REYES DR",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320958558",
"telephone_number": "904-373-8871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENZ",
"first_name": "MEGHAN",
"middle_name": "BRIDGET",
"name_prefix": "Dr.",
"credential": "PH.D., ABPP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-09",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "FL",
"license": "12447",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.