Organization Active NPI

Momentum Counseling

  • Social Worker
  • Jacksonville, FL
National Provider Identifier
1245562644
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW9543 Issued in FL
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

Updated by the provider on Jan 19, 2011

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)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.