Active NPI
Joan Elaine Thurston, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1326260738
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 7885
- Practice address
- 12443 San Jose Blvd Ste 202
Jacksonville, FL 32223-8648 - Phone
- (904) 208-0208
- Fax
- (904) 814-8876
- NPI assigned
- May 3, 2007
- Last updated
- Jul 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 7885 | FL | Primary |
| Professional Counselor | 101YP2500X | LC9903 | MD |
Addresses
Primary practice location
12443 San Jose Blvd Ste 202
Jacksonville, FL 32223-8648
Mailing address
312 Silver Glen Ave
St Augustine, FL 32092-2475
Phone (904) 208-0208
Other practice location 1
16701 Melford Blvd Ste 400
Bowie, MD 20715-4411
Phone (904) 208-0208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jul 25, 2025 through Jul 25, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 7885 | FL | MD | Mental Health Counselor |
| LC9903 | MD | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1326260738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "312 SILVER GLEN AVE",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320922475",
"telephone_number": "904-208-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 SAN JOSE BLVD STE 202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238648",
"telephone_number": "904-208-0208",
"fax_number": "904-814-8876"
}
],
"practiceLocations": [
{
"address_1": "16701 Melford Blvd Ste 400",
"address_purpose": "LOCATION",
"city": "Bowie",
"state": "MD",
"postal_code": "207154411",
"country_code": "US",
"telephone_number": "904-208-0208",
"fax_number": "904-814-8876",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "THURSTON",
"first_name": "JOAN",
"middle_name": "ELAINE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 7885",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MD",
"license": "LC9903",
"primary": false
}
],
"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 Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.