Individual provider Active NPI

Joan Elaine Thurston, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1326260738
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 7885 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH 7885FLMDMental Health Counselor
LC9903MDMDProfessional 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

Verify at the official NPI Registry.