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MS. MARY ELLEN MORENO BA
NPI 1811248008
Counselor - Mental Health in Jacksonville, FL

Active since September 27, 2012
6266 DUPONT STATION CT E, JACKSONVILLE, FL 32217(904) 745-0067(904) 745-1030 Get Directions Write a Review

NPPES record last updated: August 2, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Mary Ellen Moreno Ba NPPES

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

MS. MARY ELLEN MORENO BA (NPI 1811248008) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (101YM0800X) and active in the NPI registry since September 2012. She maintains a secondary practice location in Daytona Beach.

NPPES Registry Identity

NPI1811248008
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. MARY ELLEN MORENOCredential: BA
Location Address6266 DUPONT STATION CT EJacksonville, FL 32217-2567
Mailing Address6266 Dupont Station Ct EJacksonville, FL 32217-2567 · (904) 745-0067 · Fax (904) 745-1030
Phone(904) 745-0067
Fax(904) 745-1030
Sole ProprietorYes
Enumeration DateSeptember 27, 2012
Last NPPES UpdateAugust 2, 2022
NPPES CertifiedAugust 2, 2022
✔ NPI 1811248008 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · 101YM0800X
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X · License M650540586680 (FL)
6266 DUPONT STATION CT E, Jacksonville, FL 32217
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Secondary Practice Location 1

Location 1259 Bill France BlvdDaytona Beach, FL 32114-1316 · Phone (386) 868-1992

Other Providers at the Same Location NPPES 18

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

BERNARD JEROME JENNINGS III
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
SALENA GENEVA WILLIAMS
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 534-4675
MR. RUBEN HILERIO III
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
JAVIER SANES-SANTIAGO
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
BRANDY MARIE TURNER
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
SERENA MURRY-WEBB
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
NICOLE MALDONADO GUILLIOD
Counselor (Mental Health)
6266 DUPONT STATION CT E
JACKSONVILLE, FL 32217
Duval County (904) 745-0067
MATTHEW WINTHROP GAUNTLETT LMHC
Counselor (Mental Health)
6266 DUPONT STATION CT E, UFJAX - DEPT. OF PSYCHIATRY
JACKSONVILLE, FL 32217
Duval County (904) 383-1038

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 Mary Ellen Moreno's NPI number?

The NPI number for Mary Ellen Moreno is 1811248008. It was assigned to this individual provider in the NPPES registry on September 27, 2012.

Where is Mary Ellen Moreno located?

Mary Ellen Moreno practices at 6266 Dupont Station Ct E, Jacksonville, FL 32217. The listed phone number is (904) 745-0067.

What is Mary Ellen Moreno's specialty?

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

When was this NPI record last updated?

The NPPES record for Mary Ellen Moreno was last updated on August 2, 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.