Jacqueline Rita, LMHC in Daytona Beach, FL - Medicare Counselor Provider

Jacqueline Rita, LMHC is a medicare enrolled "Counselor - Mental Health" provider in Daytona Beach, Florida. Her current practice location is 211 E International Speedway Blvd Ste 107, Daytona Beach, Florida. You can reach out to her office (for appointments etc.) via phone at (401) 486-6081.

Jacqueline Rita is licensed to practice in Florida (license number 11788) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1598740896.

Contact Information

	Jacqueline Rita, LMHC
	211 E International Speedway Blvd Ste 107, Daytona Beach, FL 32118-4662
	(401) 486-6081
	(386) 401-2414

Map and Direction

Healthcare Provider's Profile

Full Name	Jacqueline Rita
Gender	Female
Speciality	Counselor - Mental Health
Location	211 E International Speedway Blvd Ste 107, Daytona Beach, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1598740896
Provider Enumeration Date: 12/08/2005
Last Update Date: 03/03/2025

Medicare PECOS Information:

PECOS PAC ID: 3678926599
Enrollment ID: I20240126003466

Medical Identifiers

Medical identifiers for Jacqueline Rita such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598740896	NPI	-	NPPES
27972-1	Other	RI	BLUE CROSS
412090	Other	RI	BLUE CHIP
JR36967	Medicaid	RI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	11788 (Florida)	Primary
101YM0800X	Counselor - Mental Health	00222 (Rhode Island)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacqueline Rita allows following entities to bill medicare on her behalf.

Entity Name	Presbyterian Counseling Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023277571 PECOS PAC ID: 8325370950 Enrollment ID: O20200203001460

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

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Rita is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

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

Reviews and Comments

Counselor in Daytona Beach, FL

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
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
Stephen Odu, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Bill France Blvd Ste 200, Daytona Beach, FL 32114 Phone: 386-868-1992

Jacqueline Rita, LMHC - Medicare Counselor in Daytona Beach, FL