NPIMap

Organization Active NPI

In-Trinsic, Inc.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1114173663
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2154 Issued in FL
Legal business name
IN-TRINSIC, INC.
Practice address
2342 Park St
Jacksonville, FL 32204-4318
Phone
(904) 384-4910
Fax
(904) 389-9220
NPI assigned
Aug 15, 2008
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Kathy A. Whitaker, LMHC
Title
President
Phone
(904) 384-4910

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X 2154 FL Primary

Addresses

Primary practice location

2342 Park St
Jacksonville, FL 32204-4318

Mailing address

2342 Park St
Jacksonville, FL 32204-4318
Phone (904) 384-4910

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1218758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1114173663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044318",
            "telephone_number": "904-384-4910",
            "fax_number": "904-389-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2342 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044318",
            "telephone_number": "904-384-4910",
            "fax_number": "904-389-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-TRINSIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-15",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "KATHY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-384-4910",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "2154",
            "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 Aug 15, 2008; 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.