Individual provider Active NPI

James G Solari

  • Mental Health Counselor
  • St Johns, FL
National Provider Identifier
1245850908
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17959 Issued in FL
Practice address
828 Lotus LN N
St Johns, FL 32259-4423
Phone
(904) 610-9702
NPI assigned
Apr 23, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17959 FL Primary

Addresses

Primary practice location

828 Lotus LN N
St Johns, FL 32259-4423

Mailing address

828 Lotus LN N
St Johns, FL 32259-4423
Phone (904) 610-9702

Other practice location 1

14540 Old Saint Augustine Rd Ste 2591
Jacksonville, FL 32258-7420
Phone (904) 376-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240917000560 FL Practitioner - Mental Health Counselor 7911448006 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Behavioral Health, LLC Mental Health CurrentSince Aug 29, 2024 Accepting new patients

Locations

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

14540 Old St Augustine Rd
Ste 2591
Jacksonville, FL 32258
Phone (904) 262-5333

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1245850908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 LOTUS LN N",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594423",
            "telephone_number": "904-610-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 LOTUS LN N",
            "city": "ST JOHNS",
            "state": "FL",
            "postal_code": "322594423",
            "telephone_number": "904-610-9702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14540 Old Saint Augustine Rd Ste 2591",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322587420",
            "country_code": "US",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLARI",
        "first_name": "JAMES",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Johns, FL

Sources for this page

Verify at the official NPI Registry.