Individual provider Active NPI

Lorraine Jo Jourden, LMHC

  • Mental Health Counselor
  • Fleming Island, FL
National Provider Identifier
1346098274
Registry record updated May 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23558 Issued in FL
Practice address
4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832
Phone
(904) 269-0886
Fax
(904) 269-0886
NPI assigned
May 7, 2024
Last updated
May 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH23558 FL Primary

Addresses

Primary practice location

4375 US Highway 17 Ste 103
Fleming Island, FL 32003-4832

Mailing address

12700 Bartram Park Blvd Apt 216
Jacksonville, FL 32258-5454
Phone (512) 431-4828

Other practice location 1

12412 San Jose Blvd Ste 401
Jacksonville, FL 32223-8620
Phone (904) 269-0886

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH23558FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lorrie Jourden Counseling Services Mental Health CurrentSince Oct 21, 2025 Accepting new patients

Locations

4375 US Highway 17
Ste 103
Fleming Isle, FL 32003
Phone (904) 269-0886

12412 San Jose Blvd
Ste 401
Jacksonville, FL 32223
Phone (904) 348-0343

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1346098274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 BARTRAM PARK BLVD APT 216",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585454",
            "telephone_number": "512-431-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4375 US HIGHWAY 17 STE 103",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320034832",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0886"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12412 San Jose Blvd Ste 401",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322238620",
            "country_code": "US",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0886",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOURDEN",
        "first_name": "LORRAINE",
        "middle_name": "JO",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fleming Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.