Organization Active NPI

Abigayil Abraham, LLC

  • Mental Health Counselor
  • St Augustine, FL
National Provider Identifier
1215764709
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ABIGAYIL ABRAHAM, LLC
Practice address
101 E Town PL Ste 110G
St Augustine, FL 32092-2726
Phone
(904) 402-7663
NPI assigned
Sep 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Authorized official

Name
Abigayil AbrahamNPI 1215796925
Title
Owner, LMHC
Phone
(904) 402-7663

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

101 E Town PL Ste 110G
St Augustine, FL 32092-2726

Mailing address

101 E Town PL Ste 110G
St Augustine, FL 32092-2726
Phone (904) 402-7663

Other names 1

  • Abi Abraham Counseling, LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250917000961 FL Part B Supplier - Clinic/Group Practice 9234633991 Receives reassigned benefits from 1 practitioner
Practice locations: St Augustine, FL

National Provider Directory

National Provider Directory

Locations

101 E Town Pl
Ste 110G
St Augustine, FL 32092
Phone (904) 402-7663

101 E Town Pl
Ste 110H
St Augustine, FL 32092
Phone (904) 402-7663

Practitioners & affiliated clinicians

Practitioners 1

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": "1726617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756944000000",
    "number": "1215764709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 110G",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726",
            "telephone_number": "904-402-7663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 E TOWN PL STE 110G",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320922726",
            "telephone_number": "904-402-7663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABIGAYIL ABRAHAM, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-18",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "ABIGAYIL",
        "authorized_official_title_or_position": "OWNER, LMHC",
        "authorized_official_telephone_number": "904-402-7663"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Abi Abraham Counseling, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.