Individual provider Active NPI

Jessica Jolene Oakley Nunziata, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1205616091
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22369 Issued in FL
Practice address
4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187
Phone
(561) 301-7387
NPI assigned
Sep 29, 2023
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22369 FL Primary

Addresses

Primary practice location

4651 Salisbury Rd Ste 400
Jacksonville, FL 32256-6187

Mailing address

PO Box 502
Jupiter, FL 33468-0502
Phone (561) 221-8153

Other practice location 1

1410 W Broadway St Ste 107
Oviedo, FL 32765-6537
Phone (689) 266-5051

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 18, 2024 through Mar 18, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH22369FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Counseling LLC Mental Health CurrentSince Mar 24, 2025 Accepting new patients
Life Solutions Counseling LLC Mental Health PastSince Dec 1, 2024 Accepting new patients

Organizations & group practices 2

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": "1695945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1205616091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 502",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334680502",
            "telephone_number": "561-221-8153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SALISBURY RD STE 400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322566187",
            "telephone_number": "561-301-7387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 W Broadway St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Oviedo",
            "state": "FL",
            "postal_code": "327656537",
            "country_code": "US",
            "telephone_number": "689-266-5051",
            "fax_number": "321-241-4605",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OAKLEY NUNZIATA",
        "first_name": "JESSICA",
        "middle_name": "JOLENE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-29",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.