Individual provider Active NPI

Cassandra Jane Hoffer, LMFT

  • Marriage & Family Therapist
  • Jacksonville Beach, FL
National Provider Identifier
1033509146
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 2973 Issued in FL
Practice address
2602 Isabella Blvd
Suite #30
Jacksonville Beach, FL 32250-4099
Phone
(904) 246-0935
Fax
(904) 246-0937
NPI assigned
Jan 27, 2015
Last updated
Jan 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MT 2973 FL Primary
Marriage & Family Therapist 106H00000X 166.000959 IL

Addresses

Primary practice location

2602 Isabella Blvd
Suite #30
Jacksonville Beach, FL 32250-4099

Mailing address

2602 Isabella Blvd
Suite #30
Jacksonville Beach, FL 32250-4099
Phone (904) 246-0935

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MT 2973FLMDMarriage & Family Therapist
166.000959ILMDMarriage & Family Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1033509146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 ISABELLA BLVD",
            "address_2": "SUITE #30",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504099",
            "telephone_number": "904-246-0935",
            "fax_number": "904-246-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 ISABELLA BLVD",
            "address_2": "SUITE #30",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504099",
            "telephone_number": "904-246-0935",
            "fax_number": "904-246-0937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFER",
        "first_name": "CASSANDRA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2973",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "IL",
            "license": "166.000959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.