Organization Active NPI

Golden Therapy LLC

  • Community/Behavioral Health Agency
  • Fleming Island, FL
National Provider Identifier
1245065473
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
GOLDEN THERAPY LLC
Practice address
4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832
Phone
(904) 269-0886
NPI assigned
Sep 6, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Authorized official

Name
Heather M. McDonald, LCSWNPI 1437511854
Title
Therapist
Phone
(904) 714-8477

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832

Mailing address

1770 Long Slough Walk
Fleming Island, FL 32003-7033
Phone (904) 714-8477

National Provider Directory

National Provider Directory

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": "1725580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1245065473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 LONG SLOUGH WALK",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037033",
            "telephone_number": "904-714-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17 STE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-06",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "904-714-8477",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.