A New Direction Breaking the Cycle of Poverty

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A NEW DIRECTION BREAKING THE CYCLE OF POVERTY

Doing business as

Andbtcop Inc

Practice address

320 1St St N Ste 612
Jacksonville Beach, FL 32250-6947

Phone

(334) 647-1009

Fax

(888) 856-7677

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Jefkida Lasha JohnsonNPI 1639690381

Title

Ceo

Phone

(334) 320-0084

Specialties & licenses 7

Addresses

Other identifiers 2

Other names 1

• ANDBTCOP INC Doing business as

Locations

Practitioners 5

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

• Jefkida Lasha Johnson

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1639690381

  Addiction (Substance Use Disorder)

  NPD Authorized official
• Lawrence Vernon Baker Jr., LPC-S

  • Professional Counselor
  • Montgomery, AL
  • NPI 1356972566

  Addiction (Substance Use Disorder)

  NPD (past)
• Crystal Dumas, MS, ALC

  • Counselor
  • Arlington, WA
  • NPI 1679148605
  NPD (past)
• Johnie Rogers Love, MS, ALC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1851967673
  NPD (past)
• Fallon M. Reynolds, ALC

  • Mental Health Counselor
  • Montgomery, AL
  • NPI 1548841158
  NPD (past)

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1306104872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 1ST ST N STE 612",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506947",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 1ST ST N STE 612",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322506947",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2742 Central Pkwy",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361063243",
            "country_code": "US",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "225 Water St",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322025185",
            "country_code": "US",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7007 Potsdam Ct",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361178028",
            "country_code": "US",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 Taliaferro Trl",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361177758",
            "country_code": "US",
            "telephone_number": "334-647-1009",
            "fax_number": "888-856-7677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A NEW DIRECTION BREAKING THE CYCLE OF POVERTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "JEFKIDA",
        "authorized_official_middle_name": "LASHA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "334-320-0084"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "840832",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "241522",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANDBTCOP INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.