Active NPI
Magna's Haven, Inc.
Doing business as Jessica Kuilan
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1154823466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW13911
- Legal business name
- MAGNA'S HAVEN, INC.
- Doing business as
- Jessica Kuilan
- Practice address
- 5011 Gate Parkway
BLDG 100, Suite 100
Jacksonville, FL 32256 - Phone
- (305) 783-3991
- Fax
- (305) 230-7616
- NPI assigned
- Mar 2, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jessica Kuilan, LCSW
- Title
- Ceo
- Phone
- (305) 783-3991
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW13911 | FL | Primary |
| Case Management Agency | 251B00000X |
Addresses
Primary practice location
5011 Gate Parkway
BLDG 100, Suite 100
Jacksonville, FL 32256
Mailing address
5011 Gate Parkway BLDG 100 Suite 100
Jacksonville, FL 32256-0830
Phone (305) 439-6969
Other practice location 1
18495 S Dixie Hwy
Cutler Bay, FL 33157-6817
Phone (305) 439-6969
Other names 1
- Jessica Kuilan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Jacksonville, FL
- NPI 1427506658
-
- Social Worker
- Jacksonville, FL
- NPI 1275155368
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757635200000",
"number": "1154823466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5011 GATE PARKWAY BLDG 100 SUITE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322560830",
"telephone_number": "305-439-6969",
"fax_number": "305-230-7616"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5011 GATE PARKWAY",
"address_2": "BLDG 100, SUITE 100",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32256",
"telephone_number": "305-783-3991",
"fax_number": "305-230-7616"
}
],
"practiceLocations": [
{
"address_1": "18495 S Dixie Hwy",
"address_purpose": "LOCATION",
"city": "Cutler Bay",
"state": "FL",
"postal_code": "331576817",
"country_code": "US",
"telephone_number": "305-439-6969",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAGNA'S HAVEN, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-02",
"last_updated": "2025-09-12",
"certification_date": "2020-01-18",
"status": "A",
"authorized_official_last_name": "KUILAN",
"authorized_official_first_name": "JESSICA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "305-783-3991",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW13911",
"primary": true
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Jessica Kuilan",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Sep 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.