Active NPI
Emily Stefanski, M.S.
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1033651278
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15167
- Practice address
- 12058 San Jose Blvd Ste 703
Jacksonville, FL 32223 - Phone
- (904) 260-0454
- NPI assigned
- Nov 4, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15167 | FL | Primary |
Addresses
Primary practice location
12058 San Jose Blvd Ste 703
Jacksonville, FL 32223
Mailing address
12700 Bartram Park Blvd Apt 410
Jacksonville, FL 32258-5458
Phone (904) 305-6353
Other practice location 1
2236 Capital Cir NE
201
Tallahassee, FL 32308-8305
Phone (904) 305-6353
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15167 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mandarin Counseling Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Social Worker
- Jacksonville, FL
- NPI 1811187271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557360000000",
"number": "1033651278",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 BARTRAM PARK BLVD APT 410",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322585458",
"telephone_number": "904-305-6353"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD STE 703",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32223",
"telephone_number": "904-260-0454"
}
],
"practiceLocations": [
{
"address_1": "2236 Capital Cir NE",
"address_2": "201",
"address_purpose": "LOCATION",
"city": "Tallahassee",
"state": "FL",
"postal_code": "323088305",
"country_code": "US",
"telephone_number": "904-305-6353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEFANSKI",
"first_name": "EMILY",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-04",
"last_updated": "2019-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "15167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.