JOHN WARREN (L.M.H.C.) – Mental Health Counselor, NPI 1639507254
Mental Health Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for JOHN WARREN (L.M.H.C.)
14606 MANDARIN RD
JACKSONVILLE, FL 322232652
Phone: (904) 305-5864
Fax: (904) 924-1954
Type: Mailing
3890 DUNN AVE
JACKSONVILLE, FL 322186428
Phone: (904) 723-6049
Fax: (904) 924-1954
Type: Location
550 Balmoral Cir N Ste 201
Jacksonville, FL 322185577
Phone: (904) 294-5329
Fax: (904) 485-8460
Type: Location
1857 Wells Rd Ste 6
Orange Park, FL 320736763
Phone: (904) 294-5329
Fax: (904) 485-8460
Type: Location
8833 PERIMETER PARK BLVD STE 201
JACKSONVILLE, FL 322161111
Phone: (904) 305-5864
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240110002353 | I | Mental Health Counselor | FL | TBD |
| I20241231001706 | I | Mental Health Counselor | CO | TBD |
| I20250207001855 | I | Mental Health Counselor | GA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32223)
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