MTB THERAPIST, LLC
NPI 1003314790
Counselor - Professional in Jacksonville, FL
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
Specialties & Licenses 4
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mtb Therapist, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Mtb Therapist, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Is Mtb Therapist, LLC enrolled in Medicare?
Yes. Mtb Therapist, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mtb Therapist, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Mtb Therapist, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 18 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.
# Mtb Therapist, Llc · NPI 1003314790
Professional organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since January 27, 2018.
## Identity
- **NPI:** 1003314790 (Entity type: Organization)
- **Enumerated:** January 27, 2018
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Organization subpart:** No
- **Authorized official:** Merland Baker, DIRECTOR
## Practice location
- **Address:** 6034 CHESTER AVE, Jacksonville, FL 32217-2264
- **Phone:** (904) 323-2019
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 22, 2025
- **Other identifiers:** Other MH15468 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1003314790) · Data from the CMS NPPES public registry.