Active NPI
Lotus Moon Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
National Provider Identifier
1063071835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- LOTUS MOON COUNSELING, LLC
- Practice address
- 3955 Riverside Ave
Jacksonville, FL 32205-3312 - Phone
- (904) 717-5445
- NPI assigned
- Jun 6, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathryn Post, LMHC
- Title
- Owner, MGMR
- Phone
- (904) 717-5445
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
3955 Riverside Ave
Jacksonville, FL 32205-3312
Mailing address
3955 Riverside Ave
Jacksonville, FL 32205-3312
Phone (904) 717-5445
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559779200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559779200000",
"number": "1063071835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3955 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322053312",
"telephone_number": "904-717-5445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3955 RIVERSIDE AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322053312",
"telephone_number": "904-717-5445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOTUS MOON COUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-06",
"last_updated": "2019-06-06",
"status": "A",
"authorized_official_last_name": "POST",
"authorized_official_first_name": "KATHRYN",
"authorized_official_title_or_position": "OWNER, MGMR",
"authorized_official_telephone_number": "904-717-5445",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"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 Jun 6, 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.