Active NPI
Life on Purpose Counseling and Coaching Services, LLC
- Adult Mental Health Clinic/Center
- Yulee, FL
National Provider Identifier
1245034065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ciara Jenkins, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Yulee, FL
- NPI 1154930923
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.