Casey Center for Community Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

CASEY CENTER FOR COMMUNITY COUNSELING

Practice address

6282 Dupont Station CT E Ste 2
Jacksonville, FL 32217-2515

Phone

(904) 614-4190

NPI assigned

Jun 24, 2024

Organization subpart

No

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

Authorized official

Name

Mr. David R Jedrziewski, LMFT, LMHCNPI 1538733779

Title

Coo

Phone

(904) 614-4190

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

Casey Center for Community Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Casey Center for Community Counseling

  • Mental Health Counselor
  • Fleming Island, FL
  • NPI 1811513534
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Robert Jedrziewski, LMHC, LMFT

  • Marriage & Family Therapist
  • Jacksonville, FL
  • NPI 1538733779

  Mental Health

  Medicare reassignment NPD Authorized official
• Jessica B Anderton, PSY.D.

  • Psychologist
  • Jacksonville, FL
  • NPI 1487812723
  NPD
• Sarah Patton, PSYD

  • Clinical Psychologist
  • Jacksonville, FL
  • NPI 1922394071

  Mental Health

  NPD
• Lauriann Sandrik, PSYD

  • Clinical Child & Adolescent Psychologist
  • Jacksonville, FL
  • NPI 1205895968
  NPD

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1275377236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6282 DUPONT STATION CT E STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172515",
            "telephone_number": "904-614-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6282 DUPONT STATION CT E STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172515",
            "telephone_number": "904-614-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASEY CENTER FOR COMMUNITY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A",
        "authorized_official_last_name": "JEDRZIEWSKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "904-614-4190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Erica Case
• Shannon Irene Casebeer, FNP-BC
• Vasili-Jean Eleanor Casella
• Melanie Caserta, MD
• Stephanie Caserta, RN
• Brittney Elise Casey, LCSW
• Jensen Cash
• Lindsay Christine Cash, DO
• Catherine Cashore, M.A.
• Eva Casillas

• Marriage & Family Therapist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.