Active NPI
Momentum Counseling
- Social Worker
- Jacksonville, FL
National Provider Identifier
1245562644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW9543
- Legal business name
- MOMENTUM COUNSELING
- Practice address
- 320 1St St N Ste 613
Jacksonville, FL 32250-6947 - Phone
- (904) 874-9760
- NPI assigned
- Feb 10, 2010
- 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
- Dawn L Dirito, LCSW
- Title
- Owner
- Phone
- (904) 874-9760
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW9543 | FL | Primary |
Addresses
Primary practice location
320 1St St N Ste 613
Jacksonville, FL 32250-6947
Mailing address
320 1St St N Ste 613
Jacksonville, FL 32250-6947
Phone (904) 874-9760
National Provider Directory
National Provider DirectoryLocations
320 1st St N
Ste 613
Jacksonville, FL 32250
Phone (904) 874-9760
350 Paseo Reyes Dr
St Augustine, FL 32095
Phone (904) 777-8777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1295395200000",
"number": "1245562644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 1ST ST N STE 613",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322506947",
"telephone_number": "904-874-9760"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "320 1ST ST N STE 613",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322506947",
"telephone_number": "904-874-9760"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOMENTUM COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-10",
"last_updated": "2011-01-19",
"status": "A",
"authorized_official_last_name": "DIRITO",
"authorized_official_first_name": "DAWN",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-874-9760",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "FL",
"license": "SW9543",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.