Organization Active NPI

Kristian Kares Kounseling

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1124478334
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH11336 Issued in FL
Legal business name
KRISTIAN KARES KOUNSELING
Practice address
8445 English Oak Dr
Jacksonville, FL 32244-6988
Phone
(904) 554-5482
NPI assigned
Jun 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

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

Authorized official

Name
Ms. 8 Monet Wilson, LMHC
Title
Ceo
Phone
(904) 554-5482

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH11336 FL Primary

Addresses

Primary practice location

8445 English Oak Dr
Jacksonville, FL 32244-6988

Mailing address

8445 English Oak Dr
Jacksonville, FL 32244-6988
Phone (904) 554-5482

Other identifiers 1

IdentifierTypeStateIssuer
012076600MedicaidFL

National Provider Directory

National Provider Directory

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": "1466208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466208000000",
    "number": "1124478334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8445 ENGLISH OAK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446988",
            "telephone_number": "904-554-5482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 ENGLISH OAK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446988",
            "telephone_number": "904-554-5482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRISTIAN KARES KOUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-18",
        "last_updated": "2016-06-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "8",
        "authorized_official_middle_name": "MONET",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-554-5482",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH11336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012076600",
            "state": "FL"
        }
    ],
    "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 Jun 18, 2016; 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.