Backer Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BACKER COUNSELING LLC

Practice address

1138 Edgewood Ave S
Jacksonville, FL 32205-5369

Phone

(904) 385-0133

NPI assigned

Apr 29, 2024

Organization subpart

No

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

Authorized official

Name

Chad Backer, LMHCNPI 1376819185

Title

Owner

Phone

(786) 385-7839

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Chad Arik Backer, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1376819185
  NPD Authorized official

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

{
    "created_epoch": "1714348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1104672120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4712 CRESCENT ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054922",
            "telephone_number": "786-385-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1138 EDGEWOOD AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322055369",
            "telephone_number": "904-385-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACKER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-29",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "BACKER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-385-7839",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Mark Bachista, M.D.
• Roderick Allan Bacho, PH.D.
• Back Into Health Chiropractic Inc.
• Back to Balance, Inc
• Back to Me: Physical Therapy & Coaching LLC
• Chad Arik Backer, LMHC
• William Backman
• Susan Teresa Bacot, LMHC
• Kimia Zahra Badakhshan, DO
• Steven Badami, MD

• 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 Apr 29, 2024; 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.