Organization Active NPI

Consciousabraxas

  • Community/Behavioral Health Agency
  • West Palm Beach, FL
National Provider Identifier
1205675089
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CONSCIOUSABRAXAS
Doing business as
consciousabraxas
Practice address
4200 Community Drive
Apt 907
West Palm Beach, FL 33409
Phone
(540) 654-0179
NPI assigned
May 22, 2024
Last updated
Sep 11, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Jeff Jackie ZephirinNPI 1043099963
Title
Behavior Technician
Phone
(540) 654-0179

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4200 Community Drive
Apt 907
West Palm Beach, FL 33409

Mailing address

4200 Community Dr
West Palm Beach, FL 33409-2742

Other names 1

  • consciousabraxas Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1205675089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 COMMUNITY DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334092742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 COMMUNITY DRIVE",
            "address_2": "APT 907",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33409",
            "telephone_number": "540-654-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUSABRAXAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2025-09-11",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "ZEPHIRIN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "JACKIE",
        "authorized_official_title_or_position": "BEHAVIOR TECHNICIAN",
        "authorized_official_telephone_number": "540-654-0179"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "consciousabraxas",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "consciousabraxas",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.