Individual provider Active NPI

Taisir El-Souessi, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1215287529
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17951 Issued in FL
Practice address
4540 Southside Blvd Ste 1
Jacksonville, FL 32216-5458
Phone
(904) 595-7185
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCMHCS9032 NC
Professional Counselor 101YP2500X LPC011393 GA
Mental Health Counselor 101YM0800X MH17951 FL Primary

Addresses

Primary practice location

4540 Southside Blvd Ste 1
Jacksonville, FL 32216-5458

Mailing address

1348 Beach Blvd Unit 51141
Jacksonville Beach, FL 32240-7749
Phone (904) 595-7185

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH17951FLMDMental Health Counselor
LCMHCS9032NCMDMental Health Counselor
LPC011393GAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773878400000",
    "number": "1215287529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 BEACH BLVD UNIT 51141",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322407749",
            "telephone_number": "904-595-7185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 SOUTHSIDE BLVD STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165458",
            "telephone_number": "904-595-7185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL-SOUESSI",
        "first_name": "TAISIR",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2026-03-19",
        "certification_date": "2026-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "LCMHCS9032",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011393",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17951",
            "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 Mar 19, 2026; 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.