Organization Active NPI

Life on Purpose Counseling and Coaching Services, LLC

  • Adult Mental Health Clinic/Center
  • Yulee, FL
National Provider Identifier
1245034065
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
LIFE ON PURPOSE COUNSELING AND COACHING SERVICES, LLC
Practice address
96655 Sweetbriar LN
Yulee, FL 32097-6031
Phone
(229) 977-8778
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Ciara Jenkins, LCSWNPI 1154930923
Title
Owner, Therapist
Phone
(229) 977-8778

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
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

96655 Sweetbriar LN
Yulee, FL 32097-6031

Mailing address

463688 State Road 200 Ste 1-326
Yulee, FL 32097-0304
Phone (229) 977-8778

National Provider Directory

National Provider Directory

Locations

463688 State Road 200
Ste 1326
Yulee, FL 32097

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": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1245034065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463688 STATE ROAD 200 STE 1-326",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320970304",
            "telephone_number": "229-977-8778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96655 SWEETBRIAR LN",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320976031",
            "telephone_number": "229-977-8778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE ON PURPOSE COUNSELING AND COACHING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "CIARA",
        "authorized_official_title_or_position": "OWNER, THERAPIST",
        "authorized_official_telephone_number": "229-977-8778",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.