Ashley Marie Jacoby, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH23917 Issued in FL

Practice address

4400 Marsh Landing Blvd Ste 203
Ponte Vedra Beach, FL 32082-1287

Phone

(904) 325-6283

NPI assigned

Jul 1, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Mental Health Counselor

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shukrana LLCGroup PAC ID 7618335159, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Shukrana LLC

  • Marriage & Family Therapist
  • Ponte Vedra, FL
  • NPI 1053018143
  Medicare reassignment Care Compare group NPD
• Reflective Minds Therapy, LLC

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1770456121
  NPD Authorized official

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759622400000",
    "number": "1144119207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 203",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-569-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4400 MARSH LANDING BLVD STE 203",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821287",
            "telephone_number": "904-325-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1102 A1A N Ste 203",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320824098",
            "country_code": "US",
            "telephone_number": "904-569-6875",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JACOBY",
        "first_name": "ASHLEY",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-10-05",
        "certification_date": "2025-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phyllis Ingram, LMHC
• Innovative Therapy Solutions Inc
• Integrated Therapy of FL LLC
• Integrative Medical Group, USA, LLC
• Naomi Jacobs, PH.D.
• Farha Mohamed Haji Jamaldin
• Janice Wachtel, PHD, LLC
• Jba South LLC
• Jessica Carter O'Brien
• John B Harris MD PA

• Mental Health Counselor in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, 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 Oct 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.