Individual provider Active NPI

Paige Ashley Markham Uebele

  • Marriage & Family Therapist
  • Morriston, FL
National Provider Identifier
1982180485
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT4014 Issued in FL
Practice address
6451 SE 180TH Ave
Morriston, FL 32668-5257
Phone
(352) 316-7204
NPI assigned
Jul 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nutrition Education NutritionistGroup: 193200000X MULTI-SPECIALTY GROUP 133NN1002X
Mental Health Counselor 101YM0800X MT4014 FL
Health & Wellness CoachGroup: 193200000X MULTI-SPECIALTY GROUP 171400000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Marriage & Family Therapist 106H00000X MT4014 FL Primary

Addresses

Primary practice location

6451 SE 180TH Ave
Morriston, FL 32668-5257

Mailing address

21 Holly Berry Rd
Fredericksburg, VA 22406-5340
Phone (352) 316-7204

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MT4014FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Transformative Trek Therapy LLC Marriage & Family Therapist CurrentSince Sep 23, 2024 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": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1982180485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 HOLLY BERRY RD",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224065340",
            "telephone_number": "352-316-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6451 SE 180TH AVE",
            "city": "MORRISTON",
            "state": "FL",
            "postal_code": "326685257",
            "telephone_number": "352-316-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UEBELE",
        "first_name": "PAIGE",
        "middle_name": "ASHLEY MARKHAM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT4014",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morriston, FL

Sources for this page

Verify at the official NPI Registry.