Organization Active NPI

Sky-Rise Behavioral Health

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1104536267
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SKY-RISE BEHAVIORAL HEALTH
Practice address
2255 Dunn Ave Ste 601B
Jacksonville, FL 32218-4742
Phone
(904) 314-0569
NPI assigned
Nov 30, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2022

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

Authorized official

Name
Norma Owens Hixon, LMHCNPI 1730663113
Title
Licensed Mental Health Counselor
Phone
(904) 314-0569

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2255 Dunn Ave Ste 601B
Jacksonville, FL 32218-4742

Mailing address

2255 Dunn Ave Ste 601B
Jacksonville, FL 32218-4742
Phone (904) 314-0569

Other names 1

  • Sky-rise Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

2255 Dunn Ave
Ste 601B
Jacksonville, FL 32218
Phone (904) 314-0569

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669939200000",
    "number": "1104536267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 DUNN AVE STE 601B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184742",
            "telephone_number": "904-314-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 DUNN AVE STE 601B",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184742",
            "telephone_number": "904-314-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY-RISE BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A",
        "authorized_official_last_name": "OWENS HIXON",
        "authorized_official_first_name": "NORMA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-314-0569",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sky-rise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sky-rise Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 2, 2022; 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.