Concierge & Vip Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CONCIERGE & VIP COUNSELING LLC

Practice address

7235 Bentley Rd Ste 106
Jacksonville, FL 32256-7506

Phone

(904) 413-1379

Fax

(904) 677-7886

NPI assigned

Mar 16, 2016

Organization subpart

No

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

Authorized official

Name

Barika Grayson, LMHC, NCC, CCMNPI 1053579789

Title

Ceo

Phone

(904) 413-1379

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barika Grayson, LMHC, NCC, CCM

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1053579789
  Medicare reassignment NPD Authorized official
• Jennifer Yarnell

  • Mental Health Counselor
  • Ocala, FL
  • NPI 1609034339
  NPD (past)

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1043671118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7235 BENTLEY RD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567506",
            "telephone_number": "904-413-1379",
            "fax_number": "904-677-7886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7235 BENTLEY RD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567506",
            "telephone_number": "904-413-1379",
            "fax_number": "904-677-7886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE & VIP COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "GRAYSON",
        "authorized_official_first_name": "BARIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-413-1379",
        "authorized_official_credential": "LMHC, NCC, CCM"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017012800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "017381300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Danielle Lynn Concilla, PA
• Jennifer Foushee Conde

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.