MARC DANIEL WHITTLESAY JR. LMHC
NPI 1124772413
Counselor - Mental Health in Milton, FL
About Marc Daniel Whittlesay Jr. Lmhc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARC DANIEL WHITTLESAY JR. LMHC (NPI 1124772413) is an individual mental health provider in Milton, Florida, licensed in Florida (MH16713) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Marc Daniel Whittlesay Jr. Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Marc Whittlesay reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Milton, FL 32570
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILTON, FL 32570
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 Marc Whittlesay's NPI number?
The NPI number for Marc Whittlesay is 1124772413. It was assigned to this individual provider in the NPPES registry on February 7, 2022.
Where is Marc Whittlesay located?
Marc Whittlesay practices at 5897 Little Leaf Ct, Milton, FL 32570. The listed phone number is (850) 490-7829.
What is Marc Whittlesay's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Marc Whittlesay enrolled in Medicare?
Yes. Marc Whittlesay is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Marc Whittlesay's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Marc Whittlesay reassigns Medicare benefits to Mindful Heart Organization Inc (Milton, FL). The 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 Marc Whittlesay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Marc Whittlesay was last updated on February 7, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.
# Marc Daniel Whittlesay Jr., LMHC · NPI 1124772413
Mental Health provider in Milton, Florida. Individual provider, active in the CMS NPPES registry since February 7, 2022.
## Identity
- **NPI:** 1124772413 (Entity type: Individual)
- **Enumerated:** February 7, 2022
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH16713 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5897 LITTLE LEAF CT, Milton, FL 32570-3501
- **Phone:** (850) 490-7829
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Mindful Heart Organization Inc (NPI 1871240317, Milton, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 7, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1124772413) · Data from the CMS NPPES public registry.