Organization Active NPI

1Up Counseling Services

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1093593659
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
1UP COUNSELING SERVICES
Practice address
460 Gerona Rd
St Augustine, FL 32086
Phone
(904) 494-8393
NPI assigned
Sep 15, 2023
Last updated
Dec 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Authorized official

Name
William Adams, LMHCNPI 1891237327
Title
Owner
Phone
(904) 494-8393

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

460 Gerona Rd
St Augustine, FL 32086

Mailing address

2465 US 1 S # 1111
St Augustine, FL 32086-6076
Phone (904) 494-8393

Other names 1

  • 1up Counseling Services Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251212003187 FL Part B Supplier - Clinic/Group Practice 1658865977 Receives reassigned benefits from 4 practitioners
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Locations

135 Jenkins St
Ste 105B
St Augustine, FL 32086
Phone (904) 770-6037

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764892800000",
    "number": "1093593659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 US 1 S # 1111",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320866076",
            "telephone_number": "904-494-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GERONA RD",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-494-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1UP COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-15",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-494-8393",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "1up Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 5, 2025; 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.