Stephen Jospeh Kavanagh, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10011 Issued in FL

Practice address

3215 Hendricks Ave
Suite 3
Jacksonville, FL 32207-4280

Phone

(904) 240-2679

Fax

(904) 808-1472

NPI assigned

Sep 28, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254096000000",
    "number": "1225362940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "568 SAINT CLAUDE PL",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322594074",
            "telephone_number": "904-240-2679",
            "fax_number": "904-808-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3215 HENDRICKS AVE",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074280",
            "telephone_number": "904-240-2679",
            "fax_number": "904-808-1472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVANAGH",
        "first_name": "STEPHEN",
        "middle_name": "JOSPEH",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-28",
        "last_updated": "2009-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Kaufmann, D.D.S.
• Andrew Kaunitz, M.D.
• Judith Kaur, MD
• Kavanagh Counseling
• Allison Schaefer Kavanagh, ARNP
• Tracey Kavanagh, LMHC
• Aisha Kavumkal, MD
• Layla Kawaf, DO
• Qingwen Kawaji, MD
• Sofia Kawamleh

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2009; 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.