MTB THERAPIST, LLC
MTB THERAPIST, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1003314790, based in Jacksonville, FL. The organization lists 4 taxonomy classifications, with Professional Counselor recorded as primary.
Getting there
Here is what surrounds this office in Jacksonville, based on OpenStreetMap data collected Sep 18, 2026. Parking is available about 0.42 mi away. There is EV charging 0.48 mi from the office (Tesla Supercharger) — useful if you are driving in from out of town.
Getting here and what is nearby
Restaurant McDonald's 752 ft ~3 min
3750 University Boulevard West, Jacksonville 32217
06:00-23:00
Restaurant Chick-fil-A 767 ft ~3 min
3814 University Boulevard West, Jacksonville 32217
Mo-Sa 06:30-21:30; Su off
Restaurant Chipotle 889 ft ~4 min
3860 University Boulevard West, Jacksonville 32217
Parking 0.27 mi ~6 min
Parking 0.40 mi ~8 min
Grocery Publix 0.40 mi ~9 min
2875 University Boulevard West, Jacksonville 32217-2116
Mo-Su 07:00-22:00
Parking 0.42 mi ~9 min
EV charging Tesla Supercharger 0.48 mi ~10 min
Distances are straight‑line estimates — walking routes may be longer. Hours and phone numbers can change; call ahead to confirm.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 15468 | FL | Professional Counselor primary |
| 15468 | FL | Counselor |
| 15468 | FL | Addiction (Substance Use Disorder)… |
| 15468 | FL | Mental Health Counselor |
This provider holds licence 15468 issued in FL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 9638616725
- Enrollment ID
- O20240807001829
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Professional covers
Definition to come... NUCC Health Care Provider Taxonomy, code 101YP2500X
All registered taxonomy codes
This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 101YP2500X | Professional Counselor Professional | 15468 | FL | primary |
| 101Y00000X | Counselor | 15468 | FL | |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor Addiction (Substance Use Disorder) | 15468 | FL | |
| 101YM0800X | Mental Health Counselor Mental Health | 15468 | FL |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1003314790 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Jan 27, 2018 |
| Last updated | Apr 22, 2025 |
| Status | Active |
| Practice address |
6034 CHESTER AVE Jacksonville, FL 32217 (904) 323-2019 |
| Mailing address |
3452 LIVE OAK HOLLOW DR Orange Park, FL 32065 |
| Other identifiers |
MH15468
· Other (FL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 0 | 0 | 3 | 3 | 1 | 4 | 7 | 9 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 0 | 0 | 3 | 6 | 1 | 8 | 7 | 9 |
Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.