Phaith Coaching & Counseling, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PHAITH COACHING & COUNSELING, LLC

Practice address

4940 Emerson St
Jacksonville, FL 32207-4963

Phone

(904) 323-6801

Fax

(904) 328-1626

NPI assigned

May 21, 2020

Organization subpart

No

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

Authorized official

Name

Ms. Phylicia Massey, LCSWNPI 1376817551

Title

Licensed Clinical Social Worker

Phone

(904) 323-6801

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Phylicia Nicole Massey, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1376817551
  NPD Authorized official

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

{
    "created_epoch": "1590019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1285257535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8106 SIERRA OAKS BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322193902",
            "telephone_number": "904-323-6801",
            "fax_number": "904-328-1626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 EMERSON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074963",
            "telephone_number": "904-323-6801",
            "fax_number": "904-328-1626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHAITH COACHING & COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-21",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "MASSEY",
        "authorized_official_first_name": "PHYLICIA",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "904-323-6801",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL NPI",
            "identifier": "1376817551",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "phaithcoachingandcounseling@gmail.com",
            "affiliation": "N",
            "endpointDescription": "e-mail",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "E-mail",
            "address_1": "4940 Emerson St",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322074963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Erin N Pfeffer, LCSW
• Kristin Pfeifauf
• Kendall Pfeiffer
• Jennifer Erin Pfieffer, PCNS-BC, APRN
• Nathan Charvon Phai, DPT
• Joslyn Phalen, DPT
• Bao Quoc Pham, APRN
• Bao Tien Pham, D.O
• Dat Cao Pham, MD
• Jenny Pham

• Clinical Social Worker in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.