Jeanna Felicita Houston

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16852 Issued in FL

Practice address

3810-3 Williamsburg Park Blvd
Jacksonville, FL 32257-9220

Phone

(904) 419-6102

Fax

(904) 739-2153

NPI assigned

Mar 25, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Breakthroughs Counseling & Recovery

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1033133616

  Mental Health

  NPD
• Breakthroughs Counseling and Recovery Inc.

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1568861516
  NPD (past)

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

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1164059648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3810-3 WILLIAMSBURG PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579220",
            "telephone_number": "904-419-6102",
            "fax_number": "904-739-2153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3810-3 WILLIAMSBURG PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322579220",
            "telephone_number": "904-419-6102",
            "fax_number": "904-739-2153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSTON",
        "first_name": "JEANNA",
        "middle_name": "FELICITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MH LICENSE",
            "identifier": "MH16852",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "erika@breakthroughsIOP.com",
            "affiliation": "N",
            "endpointDescription": "PM email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3810-3 Williamsburg Park Blvd",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322579220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Housecall Home Health, LLC
• Housecall Home Health, LLC
• Frank E. Houser, O.D.
• Terry Cheyenne Houser, PA-C
• Amelia Larsson Houston
• Margaret Ashley Houston, ARNP
• Valencia Houston
• William Herbert Houston III, MD
• Bruce David Houtler, PH.D.
• Haileigh Houze, PTA

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Mar 25, 2020; 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.