Individual provider Active NPI

Joyce Klock Urban, M.A., L.M.H.C.

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1922393248
Registry record updated Oct 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9889 Issued in FL
Practice address
1130 SE 18TH Place
Suite 400
Ocala, FL 34471-5422
Phone
(352) 390-6656
Fax
(352) 390-8756
NPI assigned
Jun 15, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH9889 FL Primary

Addresses

Primary practice location

1130 SE 18TH Place
Suite 400
Ocala, FL 34471-5422

Mailing address

1130 SE 18TH Place
Suite 400
Ocala, FL 34471-5422
Phone (352) 390-6656

Other identifiers 1

IdentifierTypeStateIssuer
Z03VYOtherFLBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349654400000",
    "number": "1922393248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SE 18TH PLACE",
            "address_2": "SUITE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715422",
            "telephone_number": "352-390-6656",
            "fax_number": "352-390-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SE 18TH PLACE",
            "address_2": "SUITE 400",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344715422",
            "telephone_number": "352-390-6656",
            "fax_number": "352-390-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "URBAN",
        "first_name": "JOYCE",
        "middle_name": "KLOCK",
        "name_prefix": "Mrs.",
        "credential": "M.A., L.M.H.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-15",
        "last_updated": "2012-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "Z03VY",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2012; 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.