Individual provider Active NPI

Nancy Frances Bent, ED.D.

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1033672407
Registry record updated Jun 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16800 Issued in FL
Practice address
340 Paseo Reyes Dr
St Augustine, FL 32095-8464
Phone
(904) 318-6109
NPI assigned
Apr 11, 2019
Last updated
Jun 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16800 FL Primary

Addresses

Primary practice location

340 Paseo Reyes Dr
St Augustine, FL 32095-8464

Mailing address

8788 Townsquare CT
Jacksonville, FL 32216-0509
Phone (904) 566-0169

Other practice location 1

13500 Sutton Park Dr S Ste 702
Jacksonville, FL 32224-5290
Phone (904) 318-6109

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address HealingHearts904@outlook.com Direct
Direct Messaging Address nbent.tbetherapy@outlook.com Direct

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
MH16800FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1554940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1033672407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8788 TOWNSQUARE CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160509",
            "telephone_number": "904-566-0169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PASEO REYES DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320958464",
            "telephone_number": "904-318-6109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13500 Sutton Park Dr S Ste 702",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322245290",
            "country_code": "US",
            "telephone_number": "904-318-6109",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENT",
        "first_name": "NANCY",
        "middle_name": "FRANCES",
        "name_prefix": "Dr.",
        "credential": "ED.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-11",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HealingHearts904@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Therapeutic Butterfly Effects and Healing Hearts Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-Mail/Document File",
            "address_1": "340 Paseo Reyes Dr",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320958464",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nbent.tbetherapy@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Kaizen Counseling and Evaluation Services",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "13500 Sutton Park Dr S Ste 702",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322245290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.