Individual provider Active NPI

Milan Mitrovic, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
National Provider Identifier
1912766775
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4859 Issued in FL
Practice address
9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800
Phone
(833) 769-3524
Fax
(706) 410-1490
NPI assigned
Mar 15, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT4859 FL Primary

Addresses

Primary practice location

9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800

Mailing address

9995 Gate Pkwy N Ste 100
Jacksonville, FL 32246-0800
Phone (833) 769-3524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20251029004505 FL Practitioner - Marriage and Family Therapist 0941799910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

9995 Gate Pkwy N
Suite 100
Jacksonville, FL 32246-0800
Phone (833) 769-3524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4859FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Sep 15, 2025 Accepting new patients
Northstar Counseling and Therapy LLC Marriage & Family Therapist CurrentSince Feb 2, 2025 Accepting new patients
Serendipity Counseling and Consulting, LLC Marriage & Family Therapist Past Accepting new patients

Locations

9995 Gate Pkwy N
Ste 100
Jacksonville, FL 32246
Phone (904) 981-1616

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

Organizations & group practices 3

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": "1710460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1912766775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9995 GATE PKWY N STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460800",
            "telephone_number": "833-769-3524",
            "fax_number": "706-410-1490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 GATE PKWY N STE 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322460800",
            "telephone_number": "833-769-3524",
            "fax_number": "706-410-1490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITROVIC",
        "first_name": "MILAN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-15",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.