ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS (NPI# 1538158886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538158886 |
| Entity Type | Organization |
| Organization Name | ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS |
| Other Organization Name | ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT |
| Practice Address |
1955 Us Highway 1 S Suite C-2 St Augustine FL 32086-3708 |
| Practice Telephone | 9042096001 |
| Practice Fax Number | 9042096002 |
| Mailing Telephone | 9042096001 |
| Mailing Fax Number | 9042096002 |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2007-07-16 |
| Authorized Official Name | MARIA COLAVITO (HEALTH & HUMAN SERVICES DIRECTOR) |
| Authorized Official Telephone | 9042096082 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ST JOHNS COUNTY MENTAL HEALTH DEPARTMENT | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508855560 | St Johns County Board of County Commissioners | Community/Behavioral Health | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2005-10-20 |
| 1629067970 | St Johns County Board of County Commissioners | Case Management | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2005-10-19 |
| 1326037813 | St Johns County Board of County Commissioners | Community Based Residential Treatment Facility, Mental Illness | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2005-10-18 |
| Street Address |
1955 US HIGHWAY 1 S SUITE C-2 |
| City | ST AUGUSTINE |
| State | FL |
| Zip Code | 32086-3708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467441980 | Sam Lawless | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2005-10-18 |
| 1316177645 | William A Shetler | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2009-07-21 |
| 1669661658 | Stephanie Ann Crites | Nurse Practitioner | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2007-10-16 |
| 1114111754 | Kimberly Dawn Browning | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2007-08-28 |
| 1073638573 | Joanna Nelson | Case Manager/Care Coordinator | 1955 Us Highway 1 S, Suite 100, St Augustine, FL 32086-3708 | 2007-03-21 |
| 1093840043 | Gerald W Carver | Emergency Medical Technician, Basic | 1955 Us Highway 1 S, Suite B-1, St Augustine, FL 32086-3708 | 2007-02-22 |
| 1205978426 | Ruthanne Webb Wing | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2007-02-13 |
| 1043374317 | Vickie Lynn Kaiser | Dentist | 1955 Us Highway 1 S, Suite 100, St Augustine, FL 32086-3708 | 2006-12-21 |
| 1821104894 | April Heather Liddle | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2006-08-22 |
| 1518071117 | Tyrone M Gordon | Social Worker | 1955 Us Highway 1 S, Suite C-2, St Augustine, FL 32086-3708 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670037 | Ramonica Flagler | Nurse Practitioner | 3574 Us-1 South, St. Augustine, FL 32086 | 2019-10-14 |
| 1518522648 | Marissa Marie Lynch | Physician Assistant | 100 Whetstone Pl Ste 102, St Augustine, FL 32086 | 2019-05-03 |
| 1346706991 | Castillo Transportation | Non-emergency Medical Transport (VAN) | 295 North Hidden Tree Dr, Saint Augustine, FL 32086 | 2019-02-19 |
| 1790255842 | Michelle Moore | In Home Supportive Care | 135 Jenkins St. Suite 105b #265, St.augustine, FL 32086 | 2018-12-03 |
| 1649740200 | Paul James Lietz IIi | Physical Therapist | One Orthopedic Place, Saint Augustine, FL 32086 | 2018-11-27 |
| 1548764707 | Oceanside Endodontics Od St. Augustine | Dentist | 2510 U.S. 1 South, Suite B, St. Augustine, FL 32086 | 2018-03-22 |
| 1023538329 | Joseph R Edwards | Physical Therapist | 968 Espinado Avenue, St Augustine, FL 32086 | 2017-06-27 |
| 1235662032 | Jennifer L Csenge | Dentist | 4327 Us Highway 1 S, St Augustine, FL 32086 | 2017-04-07 |
| 1336683663 | Lisa Brice | Social Worker | 248 Southpark Circle East, Saint Augustine, FL 32086 | 2016-12-06 |
| 1558813303 | Bio-medical Applications of Florida, Inc. | Clinic/Center | 65 Whitehall Drive, Saint Augustine, FL 32086 | 2016-10-27 |
| Find all providers in zip 32086 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952352189 | Avanti Wellness Center Inc | Clinic/Center | 165 Southpark Blvd, Suite D, St Augustine, FL 32086-4101 | 2006-05-12 |
| 1750915088 | New Way Associates, LLC | Clinic/Center | 6277 A1a S Ste 202, St Augustine, FL 32080-7515 | 2020-02-25 |
| 1962962696 | Dr. Janet R. Mullins, Psychologist, LLC | Clinic/Center | 24 Cathedral Pl Ste 407, St Augustine, FL 32084-4460 | 2019-03-20 |
| 1790202711 | Pemberley Administrative Services, LLC | Clinic/Center | 157 Hampton Point Dr Ste 1, St Augustine, FL 32092-3054 | 2017-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114823 | Community Behavior Care LLC | Clinic/Center | 221 Ne 164th Street, Unit 276, North Miami Beach, FL 33160 | 2020-11-06 |
| 1912508938 | Melissa Frieder, LLC | Clinic/Center | 7001 Sw 97th Ave Ste 203, Miami, FL 33173-1407 | 2020-11-05 |
| 1073114278 | Love Family Health Center Corp | Clinic/Center | 313 Palm Ave, Hialeah, FL 33010-4715 | 2020-11-04 |
| 1235730417 | Aspire Health Partners, Inc. | Clinic/Center | 4520 Oak Fair Blvd, Tampa, FL 33610-7356 | 2020-11-04 |
| 1053912469 | Loves Community Mental Health Inc | Clinic/Center | 2 Nw 30th Ave, Miami, FL 33125 | 2020-11-03 |
| 1437759032 | Loves Community Mental Health Inc | Clinic/Center | 3011 W Flagler St Unit A, Miami, FL 33135-1222 | 2020-11-01 |
| 1790385342 | New Family Wellness Center Inc | Clinic/Center | 8200 Nw 41st St Ste 200-98, Doral, FL 33166-6205 | 2020-10-31 |
| 1619577475 | Prestige Behavioral Health Center, LLC | Clinic/Center | 7318 W 20th Ave, Hialeah, FL 33016-1855 | 2020-10-29 |
| 1255931101 | Pine Grove Counseling LLC | Clinic/Center | 539 Se Van Loon Ter, Cape Coral, FL 33990-1157 | 2020-10-29 |
| 1831799766 | Mindset Mental Health Services Inc | Clinic/Center | 12485 Sw 137th Ave Ste 109, Miami, FL 33186-4215 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | ST AUGUSTINE |
| Zip Code | 32086 |
Please comment or provide details below to improve the information on ST JOHNS COUNTY BOARD OF COUNTY COMMISSIONERS.
| 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.