JACQUELINE M RITA LMHC LLC
NPI 1356137699
Clinic/Center - Mental Health (Including Community Mental Health Center) in Daytona Beach, FL

Active since April 15, 2025
211 E INTERNATIONAL SPEEDWAY BLVD STE 107, DAYTONA BEACH, FL 32118(401) 486-6081(386) 401-2414 Get Directions Write a Review

NPPES record last updated: May 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline M Rita Lmhc Llc NPPES

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

JACQUELINE M RITA LMHC LLC (NPI 1356137699) is a healthcare organization registered as a mental health (including community mental health center) in Daytona Beach, Florida and active in the NPI registry since April 2025. The organization lists Jacqueline M Rita, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1356137699
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameJACQUELINE M RITA LMHC LLC
Location Address211 E INTERNATIONAL SPEEDWAY BLVD STE 107Daytona Beach, FL 32118-4662
Mailing Address1225 Ruthbern RdDaytona Beach, FL 32114-5961 · (401) 486-6081 · Fax (386) 401-2414
Fax(386) 401-2414
Organization SubpartNo
Authorized OfficialJacqueline M RitaOwner/provider · (401) 486-6081
Enumeration DateApril 15, 2025
Last NPPES UpdateMay 30, 2025
NPPES CertifiedMay 27, 2025
✔ NPI 1356137699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
211 E INTERNATIONAL SPEEDWAY BLVD STE 107, Daytona Beach, FL 32118

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline M Rita Lmhc 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 Jacqueline M Rita Lmhc LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Mental Health Counselor
NPI 1598740896
211 E INTERNATIONAL SPEEDWAY BLVD STE 107
Daytona Beach, FL 32118
(401) 486-6081
✔ PECOS✔ Accepts MedicareSame address

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 Jacqueline M Rita Lmhc LLC's NPI number?

The NPI number for Jacqueline M Rita Lmhc LLC is 1356137699. It was assigned to this organization in the NPPES registry on April 15, 2025.

Where is Jacqueline M Rita Lmhc LLC located?

Jacqueline M Rita Lmhc LLC is located at 211 E International Speedway Blvd Ste 107, Daytona Beach, FL 32118. The listed phone number is (401) 486-6081.

What is Jacqueline M Rita Lmhc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Jacqueline M Rita Lmhc LLC enrolled in Medicare?

Yes. Jacqueline M Rita Lmhc LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jacqueline M Rita Lmhc LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jacqueline M Rita Lmhc 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 Jacqueline M Rita Lmhc LLC was last updated on May 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.