Organization Active NPI

A New Page Counseling LLC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1194484923
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
A NEW PAGE COUNSELING LLC
Practice address
8647 Baypine Rd Ste 206
Jacksonville, FL 32256-7544
Phone
(904) 490-6974
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Authorized official

Name
Letha Page, LCSWNPI 1922698604
Title
Owner
Phone
(904) 490-6974

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

8647 Baypine Rd Ste 206
Jacksonville, FL 32256-7544

Mailing address

12973 Chets Creek Dr S
Jacksonville, FL 32224-7485
Phone (904) 490-6974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220103000195 FL Part B Supplier - Clinic/Group Practice 5395136212 Receives reassigned benefits from 1 practitioner
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Locations

8647 Baypine Rd
Ste 206
Jacksonville, FL 32256
Phone (904) 490-6974

Practitioners & affiliated clinicians

Practitioners 5

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": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702425600000",
    "number": "1194484923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12973 CHETS CREEK DR S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322247485",
            "telephone_number": "904-490-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8647 BAYPINE RD STE 206",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567544",
            "telephone_number": "904-490-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW PAGE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "LETHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-490-6974",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Dec 13, 2023; 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.

Verify at the official NPI Registry.