New Growth Sta
NPI 1457147076ActiveOrganization· Counselor, Mental Health· St Augustine, FL
Counselor, Mental Health in St Augustine, Florida, registered in NPPES in April 2025. The authorized official on file is Caitlin Fay, LCSW, Mgr. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1457147076 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 18, 2025 |
| Last updated in NPPES | Apr 18, 2025 |
| Certified by provider | Apr 18, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
| Occupational Therapist, Mental Health | 225XM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL) |
|---|
Other mental health counselors in St Augustine
- 1073146387
- 1093593659
- 1104655463
- 1114739604
- 1184017972
- 1215764709
- 1275120420
- 1285968412
- 1366801847
- 1407656127
- 1457739609
- 1578807186
All 141 mental health counselors in St Augustine · All mental health counselors in Florida