Individual provider Active NPI

Megan Rae Rockwood, MA, LMHC, CAP

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1972884252
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11413 Issued in FL
Practice address
10175 Fortune Pkwy
St 1106
Jacksonville, FL 32256-6746
Phone
(904) 379-5928
Fax
(888) 793-2304
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 39002283A IN
Mental Health Counselor 101YM0800X MH11413 FL Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 5818 FL

Addresses

Primary practice location

10175 Fortune Pkwy
St 1106
Jacksonville, FL 32256-6746

Mailing address

10175 Fortune Pkwy
St 1106
Jacksonville, FL 32256-6746
Phone (904) 379-5928

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
I20241008001588 FL Practitioner - Mental Health Counselor 3072044502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greener Side Counseling, LLCGroup PAC ID 8527599059, 5 clinicians

Practice addresses (Care Compare)

538 Park Ave
Suite 2
Orange Park, FL 32073-3111
Phone (888) 793-2304

9957 Moorings Dr
Suite 302
Jacksonville, FL 32257-2415
Phone (888) 793-2304

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
CAP 5818FLMDAddiction (Substance Use Disorder) Counselor
MH11413FLMDMental Health Counselor
39002283AINMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greener Side Counseling, LLC Mental Health CurrentSince Jul 22, 2024 Accepting new patients
Craft Behavioral Health Clinic PastSince Jun 18, 2023 Accepting new patients
Craft Behavioral Health, LLC PastSince Jan 24, 2010 Accepting new patients

Locations

9957 Moorings Dr
Ste 302
Jacksonville, FL 32257
Phone (888) 793-2304

538 Park Ave
Ste 2
Orange Park, FL 32073
Phone (512) 842-2223

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1972884252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY",
            "address_2": "ST 1106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566746",
            "telephone_number": "904-379-5928",
            "fax_number": "888-793-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10175 FORTUNE PKWY",
            "address_2": "ST 1106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566746",
            "telephone_number": "904-379-5928",
            "fax_number": "888-793-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCKWOOD",
        "first_name": "MEGAN",
        "middle_name": "RAE",
        "credential": "MA, LMHC, CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IN",
            "license": "39002283A",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11413",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 5818",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.