Family Foundations of Northeast Florida, Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC

Practice address

40 E Adams St Ste LL15
Jacksonville, FL 32202-3353

Phone

(904) 396-4846

Fax

(904) 398-6649

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William Joseph Haley

Title

President & Ceo

Phone

(904) 396-8127

Specialties & licenses 4

Addresses

Tax ID family

Family Foundations of Northeast Florida Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Foundations of Northeast Florida, Inc

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1538117858
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Erica Whitfield, MACP, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1063843407

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1154873016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E ADAMS ST STE LL15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023353",
            "telephone_number": "904-396-4846",
            "fax_number": "904-398-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E ADAMS ST STE LL15",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023353",
            "telephone_number": "904-396-4846",
            "fax_number": "904-398-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY FOUNDATIONS OF NORTHEAST FLORIDA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "904-396-8127",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Foundations of Northeast Florida, Inc
• Family Health Associates of Kings Road
• Family Life Christian Counseling, Inc.
• Family Love Transportation LLC
• Family Medicine & Rehab

• All providers in Jacksonville, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.