Olivia Leigh Agnew

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

495 Prosperity Lake Dr Ste 101
Saint Augustine, FL 32092-5045

Phone

(904) 370-3420

NPI assigned

May 14, 2024

Last updated

May 14, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Foundations Pediatrics Assessment and Treatment Center

  • Community/Behavioral Health Agency
  • St Augustine, FL
  • NPI 1841649241
  NPD

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

{
    "created_epoch": "1715644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1326897216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7237 CORKLAN DR APT 1536",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582659",
            "telephone_number": "217-565-0766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 PROSPERITY LAKE DR STE 101",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320925045",
            "telephone_number": "904-370-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGNEW",
        "first_name": "OLIVIA",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-14",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Affordable Braces of North Florida (Affordable Braces)
• Julia Affronti, MS, CF-SLP
• Amit Kumar Agarwal, MD
• Sarah Kathleen Agee, FNP-BC, BSN, RN
• Ashley Agnew, APRN
• Claudine Aguilera, M.D.
• Anis A. Ahmadi, MD
• Ryan Ahmadi, APRN
• Mohammed Aide, PHARM.D.
• Aip Home Retrofit LLC

• Mental Health Counselor in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2024; 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.