Individual provider Active NPI

Jeanette McLaughlin

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1063996114
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3927 Owen Ave
Jacksonville, FL 32209-1628
Phone
(904) 235-7840
NPI assigned
Sep 24, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22454 FL
Professional Counselor 101YP2500X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3927 Owen Ave
Jacksonville, FL 32209-1628

Mailing address

3927 Owen Ave
Jacksonville, FL 32209-1628
Phone (904) 235-7840

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250122003092 FL Practitioner - Mental Health Counselor 6709315641 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Health IncGroup PAC ID 9234525098, 213 clinicians

Practice addresses (Care Compare)

Jacksonville, FL 32211
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22454FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Right Path Behavioral Health Services, LLC. CurrentSince Dec 9, 2024 Accepting new patients
Right Path Behavioral Health Services LLC Current Accepting new patients
Right Path Behavioral Health Services LLC CurrentSince Dec 9, 2024 Accepting new patients
Brightside Health, Inc. CurrentSince Aug 1, 2025 Accepting new patients
New Beginnings Counseling Mental Health CurrentSince Apr 14, 2024 Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

1170 Kane Concourse
Ste 400
Bay Harbor Islands, FL 33154

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

3890 Dunn Ave
Ste 1104
Jacksonville, FL 32218
Phone (904) 367-3363

1725 Oakhurst Ave
Jacksonville, FL 32208
Phone (904) 367-2237

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1063996114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3927 OWEN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091628",
            "telephone_number": "904-235-7840",
            "fax_number": "904-235-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3927 OWEN AVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322091628",
            "telephone_number": "904-235-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCLAUGHLIN",
        "first_name": "JEANETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22454",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.