Baptist Behavioral Health, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

BAPTIST BEHAVIORAL HEALTH, LLC

Practice address

841 Prudential Dr Ste 1350
Jacksonville, FL 32207-9847

Phone

(904) 376-3800

Fax

(904) 391-0167

NPI assigned

Mar 17, 2006

Last updated

Jun 29, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INCAs reported in NPPES

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

Authorized official

Name

Kendra Wagner, LMHCNPI 1366138406

Title

Administrator

Phone

(904) 376-3800

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Baptist Medical Ctr

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Southern Baptist Hospital of Florida Inc

  dba Baptist Medical Center

  • General Acute Care Hospital
  • Jacksonville, FL
  • NPI 1578620449

  Member Of

  NPD member

Locations (25 of 26)

Practitioners 231

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.

• Yevgeniya Nikolayeva Alemany

  • Psychiatric/Mental Health Nurse Practitioner
  • St Augustine, FL
  • NPI 1467294512
  Medicare reassignment Care Compare group NPD
• Emma Ambler, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1437913621
  Medicare reassignment Care Compare group NPD
• Deborah Ellen Anthony, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1790018919
  Medicare reassignment Care Compare group NPD
• Alicia Elisa Ayala Laconich, PH.D IN PSYCHOLOGY

  • Clinical Neuropsychologist
  • Jacksonville, FL
  • NPI 1376138495
  Medicare reassignment Care Compare group NPD
• Henry Donald Benson Jr., PHD

  • Clinical Psychologist
  • Saint Johns, FL
  • NPI 1275931339
  Medicare reassignment Care Compare group NPD
• Kelsey L. Bloom, LCSW

  • Clinical Social Worker
  • Saint Johns, FL
  • NPI 1730892365
  Medicare reassignment Care Compare group NPD
• Yolanda Blount

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1073984746
  Medicare reassignment Care Compare group NPD
• Amy Michelle Brannon, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1306463914
  Medicare reassignment Care Compare group NPD
• Amelia Delois Brown, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1316297054
  Medicare reassignment Care Compare group NPD
• Jonathan David Browning, MD

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1740636307
  Medicare reassignment Care Compare group NPD
• Carolyn Therese Coppedge, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1417542333
  Medicare reassignment Care Compare group NPD
• Mary Crotty

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1659188639
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782691200000",
    "number": "1215906649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748519",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748519",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 PRUDENTIAL DR STE 1350",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322079847",
            "telephone_number": "904-376-3800",
            "fax_number": "904-391-0167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 Prudential Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078202",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322024907",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Prudential Dr Ste 512",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
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            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 Colonnade Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816237",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14540 Old Saint Augustine Rd Ste 2591",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587420",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4844 Deer Lake Dr W Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322464406",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7431",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "30 Ardisia Ln",
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            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322593881",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7458",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1660 Prudential Dr Ste 410",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078197",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 S 14th St",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320343049",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851042 US Highway 17 Ste B",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320972845",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Prudential Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078148",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1006",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078337",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1506",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078342",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 Nocatee Village Dr",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra",
            "state": "FL",
            "postal_code": "320816152",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "841 Prudential Dr Fl 10",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078329",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1747 Baptist Clay Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Fleming Island",
            "state": "FL",
            "postal_code": "320038504",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8977",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1650 Prudential Dr Ste 210",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078149",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-4942",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "836 Prudential Dr Ste 1507",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078342",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "929 Peninsular Pl",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322042828",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13241 Bartram Park Blvd Unit 1901",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322585228",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8967",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1325 San Marco Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078567",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7392",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1301 Palm Ave Ste 4A017",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078457",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-396-8978",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "820 Prudential Dr Ste 510",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322078207",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-202-2436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1361 13th Ave S Ste 270",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322503258",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAPTIST BEHAVIORAL HEALTH, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHERN BAPTIST HOSPITAL OF FLORIDA, INC",
        "enumeration_date": "2006-03-17",
        "last_updated": "2026-06-29",
        "certification_date": "2026-06-29",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "904-376-3800",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.