Individual provider Active NPI

Melissa Crawford Soria

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1265840680
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12006 Issued in FL
Practice address
2309 Park St
Jacksonville, FL 32204-4317
Phone
(904) 323-0910
Fax
(904) 344-8386
NPI assigned
Jul 29, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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 MH12006 FL Primary

Addresses

Primary practice location

2309 Park St
Jacksonville, FL 32204-4317

Mailing address

2309 Park St
Jacksonville, FL 32204-4317
Phone (904) 323-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH12006FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beyond Counseling Inc Mental Health Current Accepting new patients
Breakthroughs Counseling and Recovery Inc. Mental Health Past Accepting new patients
Breakthroughs Counseling & Recovery Mental Health PastSince Jul 1, 2024 Accepting new patients

Locations

2309 Park St
Jacksonville, FL 32204
Phone (904) 302-8660

Organizations & group practices 3

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": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1265840680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044317",
            "telephone_number": "904-323-0910",
            "fax_number": "904-344-8386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044317",
            "telephone_number": "904-323-0910",
            "fax_number": "904-344-8386"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIA",
        "first_name": "MELISSA",
        "middle_name": "CRAWFORD",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12006",
            "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 Feb 4, 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.

Verify at the official NPI Registry.