Active NPI
Abigayil Abraham, LLC
- Mental Health Counselor
- St Augustine, FL
National Provider Identifier
1215764709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abigayil Abraham
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.