CHRISTIAN COUNSELING ASSOCIATES OF JACKSONVILLE (NPI# 1134571078) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134571078 |
| Entity Type | Organization |
| Organization Name | CHRISTIAN COUNSELING ASSOCIATES OF JACKSONVILLE |
| Practice Address |
822 A1a N Ste 310 Ponte Vedra Beach FL 32082-8209 |
| Mailing Address |
165 Barberry Ln Ponte Vedra Beach FL 32082-3000 |
| Practice Telephone | 9047584399 |
| Mailing Telephone | 9045094253 |
| Enumeration Date | 2016-07-03 |
| Last Update Date | 2016-07-03 |
| Authorized Official Name | MR. ANDREW T JACOBS (PRESIDENT) |
| Authorized Official Telephone | 9045094253 |
| Authorized Official Credential | MA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251V00000X | Voluntary or Charitable | LCMFT 0413020312 | FL | Agencies |
| Street Address |
822 A1A N STE 310 |
| City | PONTE VEDRA BEACH |
| State | FL |
| Zip Code | 32082-8209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568942100 | Royal Home Companion | Home Health | 822 A1a N Ste 310, Ponte Vedra Beach, FL 32082-8209 | 2018-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576818 | Specialty Eye Surgeons, Pa | Ophthalmology | 240 Ponte Vedra Boulevard, Suite 202, Ponte Vedra Beach, FL 32082 | 2020-07-23 |
| 1649820630 | Ponte Vedra Endodontics | Dentist | 822 A1a North, Ste 314, Ponte Vedra Beach, FL 32082 | 2019-09-12 |
| 1568988129 | Mustafa Bakir | General Practice | 1102 A1a, Ponte Vedra Beach, FL 32082 | 2017-08-16 |
| 1457890584 | Angelyn Sorgen | Nurse Practitioner | 1102 Hwy A1a, Suite 104, Ponte Vedra Beach, FL 32082 | 2017-02-22 |
| 1033575121 | Balanced Physician Care Pa | Family Medicine | 115 Professional Park Drive, Suite 104, Ponte Vedra Beach, FL 32082 | 2016-01-06 |
| 1528436060 | Robert Thompson II | Chiropractor | 135 Professional Drive, Suite 105, Ponte Vedra Beach, FL 32082 | 2015-09-14 |
| 1144628439 | Integrative Medical Group, Usa, LLC | Clinic/Center | 1102 A1a North, Suite 104, Ponte Vedra Beach, FL 32082 | 2014-12-18 |
| 1811308901 | Janice Wachtel, Phd, LLC | Psychologist | 100 Executive Way, Suite 110, Ponte Vedra Beach, FL 32082 | 2014-05-12 |
| 1578991154 | Nicole Theiler | Counselor | 171 Canal Blvd, Ponte Vedra Beach, FL 32082 | 2013-10-17 |
| 1982948006 | Daisamma Varghese | Nurse Practitioner | 860 A1an, Ponte Vedra, FL 32082 | 2012-11-15 |
| Find all providers in zip 32082 | ||||
| Taxonomy Code | 251V00000X |
| Grouping | Agencies |
| Classification | Voluntary or Charitable |
| Definition to come... |
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| 1205310596 | Caridad Center Inc | Voluntary or Charitable | 8645 W Boyton Beach Blvd, Boyton Beach, FL 33472 | 2018-09-21 |
| 1427573310 | Priority Love & Care, Inc. | Voluntary or Charitable | 7283 Old Middleburg Rd S, Jacksonville, FL 32222 | 2017-08-11 |
| 1679008007 | Michele Fleeter Dpm | Voluntary or Charitable | 5218 W Neptune Way, Tampa, FL 33609-3639 | 2017-04-24 |
| 1730611492 | Prestige Community Clinic Inc | Voluntary or Charitable | 110 W 7th St, Lakeland, FL 33805-4813 | 2017-03-31 |
| 1306387923 | River Counseling LLC | Voluntary or Charitable | 1647 Lakeview Dr, Sebring, FL 33870-7938 | 2017-03-15 |
| Find all providers with the same taxonomy | ||||
| City | PONTE VEDRA BEACH |
| Zip Code | 32082 |
Please comment or provide details below to improve the information on CHRISTIAN COUNSELING ASSOCIATES OF JACKSONVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.