Mtb Therapist, LLC
NPI 1003314790ActiveOrganization· Counselor, Professional· Jacksonville, FL
Counselor, Professional in Jacksonville, Florida, registered in NPPES in January 2018. The authorized official on file is Merland Baker, LMHC, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1003314790 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 27, 2018 |
| Last updated in NPPES | Apr 22, 2025 |
| Certified by provider | Apr 22, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Professional Primary | 101YP2500X | 15468 | FL |
| Counselor | 101Y00000X | 15468 | FL |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 15468 | FL |
| Counselor, Mental Health | 101YM0800X | 15468 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
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