Individual provider Active NPI

Jessica Hobgood, LMHC

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1114556776
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17568 Issued in FL
Practice address
460 Gerona Rd
St Augustine, FL 32086-6112
Phone
(904) 494-8393
NPI assigned
Apr 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17568 FL Primary

Addresses

Primary practice location

460 Gerona Rd
St Augustine, FL 32086-6112

Mailing address

135 Jenkins Street, Ste 105-B
#177
St. Augustine, FL 32086
Phone (904) 494-8393

Other practice location 1

1050 N Davis St
Jacksonville, FL 32209-6808
Phone (904) 355-0155

Other practice location 2

4401 Wesconnett Blvd
Jacksonville, FL 32210-7345
Phone (904) 573-2805

Other practice location 3

3675 Kirbo Way
Jacksonville, FL 32224-1419
Phone (904) 721-5063 ext. 507

Other identifiers 1

IdentifierTypeStateIssuer
MH17568OtherFLDEPT OF HEALTH

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
I20251212003354 FL Practitioner - Mental Health Counselor 7719471044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2465 US 1
Suite 1111
St Augustine, FL 32086-6076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH17568FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
1Up Counseling Services Mental Health CurrentSince Oct 5, 2025 Accepting new patients
The Arc Jacksonville, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Clay Physical Therapy PA PastSince Apr 1, 2020 Accepting new patients

Locations

4401 Wesconnett Blvd
Jacksonville, FL 32210
Phone (904) 573-2805

3675 Kirbo Way
Jacksonville, FL 32224
Phone (904) 355-0155

1050 N Davis St
Jacksonville, FL 32209
Phone (904) 355-0155

2465 US Highway 1 S
Saint Augustine, FL 32086
Phone (626) 201-8945

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1114556776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 JENKINS STREET, STE 105-B",
            "address_2": "#177",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "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": "320866112",
            "telephone_number": "904-494-8393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 N Davis St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322096808",
            "country_code": "US",
            "telephone_number": "904-355-0155",
            "fax_number": "904-355-9616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4401 Wesconnett Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322107345",
            "country_code": "US",
            "telephone_number": "904-573-2805",
            "fax_number": "904-573-2156",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3675 Kirbo Way",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322241419",
            "country_code": "US",
            "telephone_number": "904-721-5063 x507",
            "fax_number": "904-619-6780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOBGOOD",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF HEALTH",
            "identifier": "MH17568",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.