| Jacqueline Rita, LMHC | |
|
211 E International Speedway Blvd Ste 107, Daytona Beach, FL 32118-4662 | |
| (401) 486-6081 | |
| (386) 401-2414 |
| Full Name | Jacqueline Rita |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 27 Years |
| Location | 211 E International Speedway Blvd Ste 107, Daytona Beach, Florida |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598740896 | NPI | - | NPPES |
| 27972-1 | Other | RI | BLUE CROSS |
| 412090 | Other | RI | BLUE CHIP |
| JR36967 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 11788 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | 00222 (Rhode Island) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Grow Healthcare Group Pa | 3476961368 | 706 |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053 |
| Entity Name | Jacqueline M. Rita, Lmhc Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356137699 PECOS PAC ID: 9830614775 Enrollment ID: O20250423001352 |
| Mailing Address | Practice Location Address |
|---|---|
| Jacqueline Rita, LMHC 1225 Ruthbern Rd, Daytona Beach, FL 32114-5961 Ph: (401) 486-6081 | Jacqueline Rita, LMHC 211 E International Speedway Blvd Ste 107, Daytona Beach, FL 32118-4662 Ph: (401) 486-6081 |
Mrs. Barbara Joan Gebbia, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Beach Street, Daytona Beach, FL 32114 Phone: 386-944-4707 Fax: 386-868-2569 | |
Mr. Scott Henderson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-868-1992 | |
Dr. Amy L Hall, PH.D Counselor Medicare: Not Enrolled in Medicare Practice Location: 1182 Pelican Bay Dr, Daytona Beach, FL 32119 Phone: 386-227-6456 | |
Susan Hinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 702 S Ridgewood Ave, Daytona Beach, FL 32114 Phone: 386-254-1262 | |
Robert Kemp, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 215 S Palmetto Ave, Daytona Beach, FL 32114 Phone: 386-230-0682 | |
Mrs. Anne Pitard Conway, Counselor Medicare: Not Enrolled in Medicare Practice Location: 841 Jimmy Ann Dr, Daytona Beach, FL 32117 Phone: 386-425-3900 Fax: 386-274-5333 | |
Katie Jendrisak, REGISTERED MHC INTER Counselor Medicare: Not Enrolled in Medicare Practice Location: 160 N Beach St, Daytona Beach, FL 32114 Phone: 386-944-4707 |