Individual provider Active NPI

Robin Sue Spires, CAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1942416649
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH5303 Issued in FL
Practice address
390 Park St
Jacksonville, FL 32204-2342
Phone
(904) 899-6300
Fax
(904) 899-6380
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MH5303 FL Primary

Addresses

Primary practice location

390 Park St
Jacksonville, FL 32204-2342

Mailing address

4227 Coquina Dr
Jacksonville, FL 32250-2103
Phone (904) 223-3715

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH5303FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
River Region Human Services Inc Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942416649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4227 COQUINA DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322502103",
            "telephone_number": "904-223-3715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "390 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322042342",
            "telephone_number": "904-899-6300",
            "fax_number": "904-899-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPIRES",
        "first_name": "ROBIN",
        "middle_name": "SUE",
        "credential": "CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5303",
            "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 Jul 8, 2007; 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.