JACQUELINE RITA LMHC
NPI 1598740896
Counselor - Mental Health in Daytona Beach, FL

Active since December 08, 2005PECOS EnrolledAccepts Medicare Assignment
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: March 3, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jacqueline Rita Lmhc NPPES

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

JACQUELINE RITA LMHC (NPI 1598740896) is an individual mental health provider in Daytona Beach, Florida, licensed in Florida (11788) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1598740896
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJACQUELINE RITACredential: LMHC
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
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateDecember 8, 2005
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
✔ NPI 1598740896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in FL · 11788✔ Licensed in RI · 00222
211 E INTERNATIONAL SPEEDWAY BLVD STE 107, Daytona Beach, FL 32118

Other Names 1

Professional Name (2)Jacqueline Rita Lmhc

Other Identifiers 3

Other27972-1RI · Blue Cross
Other412090RI · Blue Chip
MedicaidJR36967RI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jacqueline Rita Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3678926599
PECOS Enrollment IDI20240126003466
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Jacqueline Rita reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
211 E INTERNATIONAL SPEEDWAY BLVD STE 107
Daytona Beach, FL 32118
  • Reassigned Medicare billing, Florida enrollment
Mental Health
66 W FLAGLER ST STE 900
Miami, FL 33130
  • Reassigned Medicare billing, Florida enrollment
  • 3,079 clinicians in this Medicare group

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

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

Clinic/Center (Mental Health (Including Community Mental Health Center))
211 E INTERNATIONAL SPEEDWAY BLVD STE 107
DAYTONA BEACH, FL 32118

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 Rita's NPI number?

The NPI number for Jacqueline Rita is 1598740896. It was assigned to this individual provider in the NPPES registry on December 8, 2005. The provider is also known as Jacqueline Rita Lmhc.

Where is Jacqueline Rita located?

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

What is Jacqueline Rita's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jacqueline Rita enrolled in Medicare?

Yes. Jacqueline Rita is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jacqueline Rita's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Rita reassigns Medicare benefits to 2 organizations: Jacqueline M Rita Lmhc LLC (Daytona Beach, FL) and Grow Healthcare Group PA (Miami, FL). Each 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 Jacqueline Rita's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacqueline Rita accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 3 other insurers list Jacqueline Rita 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 Jacqueline Rita was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.