NPIMap

Organization Active NPI

Grace Christian Counseling

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1154852234
Registry record updated Mar 21, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH13598 Issued in FL
Legal business name
GRACE CHRISTIAN COUNSELING
Practice address
6267 Pottsburg Plantation Blvd
Jacksonville, FL 32216-8954
Phone
(904) 334-9954
NPI assigned
Mar 21, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2017

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

Authorized official

Name
Dana BridgesNPI 1619322740
Title
LMHC
Phone
(904) 334-9954

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
Community/Behavioral Health Agency 251S00000X MH13598 FL Primary

Addresses

Primary practice location

6267 Pottsburg Plantation Blvd
Jacksonville, FL 32216-8954

Mailing address

6267 Pottsburg Plantation Blvd
Jacksonville, FL 32216-8954
Phone (904) 334-9954

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": "1490054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490054400000",
    "number": "1154852234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6267 POTTSBURG PLANTATION BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168954",
            "telephone_number": "904-334-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6267 POTTSBURG PLANTATION BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322168954",
            "telephone_number": "904-334-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE CHRISTIAN COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A",
        "authorized_official_last_name": "BRIDGES",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "904-334-9954"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH13598",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Mar 21, 2017; 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.