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
The practice address on file is 6034 CHESTER AVE, Jacksonville, FL 32217. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
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
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. This means the provider is enrolled to bill Medicare, though 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
· 261QM0801X - CLINIC/CENTER - MENTAL HEALTH (INCLUDING COMMUNITY MENTAL HEALTH CE (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.