Active NPI
Lorraine Jo Jourden, LMHC
- Mental Health Counselor
- Fleming Island, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23558
- 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, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH23558 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorrie Jourden Counseling Services | Mental Health | Current | 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.
-
- Mental Health Counselor
- Fleming Island, FL
- NPI 1801762653
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.