MTB THERAPIST, LLC
NPI 1003314790
Counselor - Professional in Jacksonville, FL

Active since January 27, 2018
6034 CHESTER AVE, JACKSONVILLE, FL 32217(904) 323-2019 Get Directions Write a Review

NPPES record last updated: April 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mtb Therapist, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MTB THERAPIST, LLC (NPI 1003314790) is a healthcare organization registered as a professional in Jacksonville, Florida and active in the NPI registry since January 2018. The organization lists Merland Baker, Director, as its authorized official.

NPPES Registry Identity

NPI1003314790
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameMTB THERAPIST, LLC
Location Address6034 CHESTER AVEJacksonville, FL 32217-2264
Mailing Address3452 Live Oak Hollow DrOrange Park, FL 32065-2525 · Fax (904) 323-0469
Organization SubpartNo
Authorized OfficialMerland BakerDirector · (904) 322-2162
Enumeration DateJanuary 27, 2018
Last NPPES UpdateApril 22, 2025
NPPES CertifiedApril 22, 2025
NPI 1003314790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in FL · 15468
Also ListedCounselorTaxonomy 101Y00000X · License 15468 (FL)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 15468 (FL)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 15468 (FL)
6034 CHESTER AVE, Jacksonville, FL 32217

Other Identifiers 1

OtherMH15468FL · 261qm0801x - Clinic/center - Mental Health (including Community Mental Health Ce

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
6034 CHESTER AVE, SUITE 119
JACKSONVILLE, FL 32217

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mtb Therapist, LLC's NPI number?

The NPI number for Mtb Therapist, LLC is 1003314790. It was assigned to this organization in the NPPES registry on January 27, 2018.

Where is Mtb Therapist, LLC located?

Mtb Therapist, LLC is located at 6034 Chester Ave, Jacksonville, FL 32217. The listed phone number is (904) 323-2019.

What is Mtb Therapist, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

What insurance does Mtb Therapist, LLC accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan and Ambetter of Alabama list Mtb Therapist, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mtb Therapist, LLC was last updated on April 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.