First Coast Counseling and Support Services

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

FIRST COAST COUNSELING AND SUPPORT SERVICES

Practice address

49 Phillips Ave
Ponte Vedra Beach, FL 32082-2816

Phone

(904) 236-1599

NPI assigned

Aug 7, 2013

Last updated

Aug 7, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gwendolyn Allen, PLPC, RMHINPI 1972813814

Title

Co-Owner

Phone

(904) 236-1599

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gwendolyn Allen, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1972813814
  Authorized official Same address or phone

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375833600000",
    "number": "1235561630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PHILLIPS AVE",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822816",
            "telephone_number": "904-236-1599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PHILLIPS AVE",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822816",
            "telephone_number": "904-236-1599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST COUNSELING AND SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-07",
        "last_updated": "2013-08-07",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GWENDOLYN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "904-236-1599",
        "authorized_official_credential": "PLPC, RMHI"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Smiles Ponte Vedra
• Larry Feldman, PT
• Courtney Fickling, MHS, OTR/L
• Carla M Field, DDS
• First Coast Brain Builders, LLC
• First Coast Evaluation Center, LLC
• First Coast Vein, LLC (Ponte Vedra Vein)
• Five Star Physical Therapy
• Fizer Fitness Inc
• Jodi Margaret Fizer, P.T.

• Case Management Agency in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2013; 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.