Individual provider Active NPI

Aiteria Kaufman, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1194335638
Registry record updated Oct 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24363 Issued in FL
Practice address
6625 Argyle Forest Blvd Ste 1035
Jacksonville, FL 32244-6670
Phone
(904) 840-9088
NPI assigned
Aug 7, 2020
Last updated
Oct 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X FL
Mental Health Counselor 101YM0800X MH24363 FL Primary

Addresses

Primary practice location

6625 Argyle Forest Blvd Ste 1035
Jacksonville, FL 32244-6670

Mailing address

6625 Argyle Forest Blvd Ste 1035
Jacksonville, FL 32244-6670
Phone (904) 840-9088

Other practice location 1

9713 Bridgeway Ave
Jacksonville, FL 32222-2913
Phone (205) 886-7149

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251008000594 FL Practitioner - Mental Health Counselor 6507363421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

Jacksonville, FL 32244
Phone (904) 840-9088

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Assessments Inc Mental Health CurrentSince Sep 18, 2025 Accepting new patients
Sensual Solutions Therapy, LLC Mental Health CurrentSince Feb 12, 2026 Accepting new patients
Florida Counseling Network LLC CurrentSince Sep 18, 2025 Accepting new patients

Locations

6625 Argyle Forest Blvd
Ste 4
Jacksonville, FL 32244
Phone (904) 441-0775

115 E Granada Blvd
Ste 1
Ormond Beach, FL 32176
Phone (386) 265-1441

533 N Nova Rd
Ste 114
Ormond Beach, FL 32174
Phone (386) 227-7014

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729987200000",
    "number": "1194335638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6625 ARGYLE FOREST BLVD STE 1035",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446670",
            "telephone_number": "904-840-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6625 ARGYLE FOREST BLVD STE 1035",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446670",
            "telephone_number": "904-840-9088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9713 Bridgeway Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322222913",
            "country_code": "US",
            "telephone_number": "205-886-7149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "AITERIA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-07",
        "last_updated": "2024-10-27",
        "certification_date": "2024-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.