MENTAL HEALTH JAX (NPI# 1780193094) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780193094 |
| Entity Type | Organization |
| Organization Name | MENTAL HEALTH JAX |
| Practice Address |
8825 Perimeter Park Blvd Jacksonville FL 32216-1108 |
| Mailing Address |
16927 Ethel Rd Jacksonville FL 32218-1107 |
| Practice Telephone | 9048608749 |
| Enumeration Date | 2017-09-29 |
| Last Update Date | 2017-09-29 |
| Authorized Official Name | MARGARET M GHEE (OWNER) |
| Authorized Official Telephone | 9048608749 |
| Authorized Official Credential | LMHC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
MH5145 | FL | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 1639203722 | 05 |
| Street Address |
8825 PERIMETER PARK BLVD |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-1108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366429862 | Amanda Bartell | Podiatrist | 8825 Perimeter Park Blvd, Suite 401, Jacksonville, FL 32216-1108 | 2005-12-27 |
| 1871038141 | Kopp's Counseling and Consulting Services, Inc. | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-12-22 |
| 1982055505 | Billie Ashley Beech-mavrantzas | Social Worker | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-06-24 |
| 1437515046 | Jamie H. Kopp | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2016-01-12 |
| 1821359050 | Amanda Lynn Kinney | Dietitian, Registered | 8825 Perimeter Park Blvd, Suite 101, Jacksonville, FL 32216-1108 | 2012-06-05 |
| 1326314543 | Vanness Company, LLC | Home Health | 8825 Perimeter Park Blvd, Suite 501, Jacksonville, FL 32216-1108 | 2012-04-02 |
| 1568755742 | Jamie Holdman Kopp | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2011-05-22 |
| 1720377450 | Vanness Co., LLC | In Home Supportive Care | 8825 Perimeter Park Blvd, Suite 501, Jacksonville, FL 32216-1108 | 2011-04-04 |
| 1396064077 | Kaloni Hepworth | Dietitian, Registered | 8825 Perimeter Park Blvd, Jacksonville, FL 32216-1108 | 2010-05-20 |
| 1952540643 | Kenneth J Hoeck | Counselor | 8825 Perimeter Park Blvd, Suite 601, Jacksonville, FL 32216-1108 | 2009-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018133 | Julie Mergl, Inc. | Clinic/Center | 6100 Greenland Rd Ste 302, Jacksonville, FL 32258-2626 | 2019-08-10 |
| 1700445350 | Cleetherapy | Clinic/Center | 12627 San Jose Blvd Ste 803, Jacksonville, FL 32223-8644 | 2019-06-07 |
| 1669775037 | Pacifica Care Pllc | Clinic/Center | 13121 Atlantic Blvd, Suite 100, Jacksonville, FL 32225 | 2010-12-07 |
| 1467070359 | Priscilla Diane Counseling LLC | Clinic/Center | 1301 Riverplace Blvd Ste 800, Jacksonville, FL 32207-9032 | 2020-07-08 |
| 1124689880 | Empowered Sol Wellness Center, LLC | Clinic/Center | 7530 103rd St Ste 7, Jacksonville, FL 32210-6786 | 2019-06-24 |
| 1396281382 | Ibpeople Consulting | Clinic/Center | 1912 Hamilton St Ste 103, Jacksonville, FL 32210-2077 | 2017-01-13 |
| 1124570189 | Brighter Future Case Management Services LLC | Clinic/Center | 2950 Halcyon Ln, Ste 701, Jacksonville, FL 32223-6689 | 2016-10-25 |
| 1124415328 | Psychaccess and Recovery Solutions, LLC | Clinic/Center | 3636 University Blvd S Ste B2, Jacksonville, FL 32216-4223 | 2015-04-25 |
| 1750773636 | Bellevue Behavioral Solutions Inc | Clinic/Center | 12058 San Jose Blvd Ste 903, Jacksonville, FL 32223-8667 | 2015-03-02 |
| 1124441175 | Janet D. Constantine Pl | Clinic/Center | 9822 Tapestry Park Cir, Suite 206, Jacksonville, FL 32246-9258 | 2014-01-28 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
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| 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.