Organization Active NPI

Family Connections Consultants LLC

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1124673249
Registry record updated Nov 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY CONNECTIONS CONSULTANTS LLC
Practice address
685 Charter Oaks Blvd
Orange Park, FL 32065-3211
Phone
(904) 483-7875
NPI assigned
Aug 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2023

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

Authorized official

Name
Mrs. Demetta Frances Vereen, LMHC,NCC,CCMHCNPI 1942635800
Title
Owner
Phone
(904) 483-7875

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

685 Charter Oaks Blvd
Orange Park, FL 32065-3211

Mailing address

225 College Dr Unit 65503
Orange Park, FL 32065-7821
Phone (904) 483-7875

National Provider Directory

National Provider Directory

Locations

225 College Dr
Unit 65503
Orange Park, FL 32065

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": "1565049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700524800000",
    "number": "1124673249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 COLLEGE DR UNIT 65503",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320657821",
            "telephone_number": "904-483-7875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CHARTER OAKS BLVD",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320653211",
            "telephone_number": "904-483-7875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CONNECTIONS CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-06",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A",
        "authorized_official_last_name": "VEREEN",
        "authorized_official_first_name": "DEMETTA",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-483-7875",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC,NCC,CCMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.