Organization Active NPI

Pinckstone Counseling LLC

  • Mental Health Counselor
  • Fernandina Beach, FL
National Provider Identifier
1346974714
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PINCKSTONE COUNSELING LLC
Practice address
501 Centre St Ste 121
Fernandina Beach, FL 32034-3936
Phone
(904) 428-0345
NPI assigned
Jul 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Authorized official

Name
Heather Pinckney, LMHCNPI 1205597259
Title
Owner
Phone
(904) 428-0345

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

501 Centre St Ste 121
Fernandina Beach, FL 32034-3936

Mailing address

501 Centre St Ste 121
Fernandina Beach, FL 32034-3936
Phone (904) 428-0345

National Provider Directory

National Provider Directory

Locations

501 Centre St
Ste 121
Fernandina Beach, FL 32034
Phone (704) 807-0280

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1657584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657584000000",
    "number": "1346974714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 121",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "904-428-0345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 CENTRE ST STE 121",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320343936",
            "telephone_number": "904-428-0345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINCKSTONE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-12",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A",
        "authorized_official_last_name": "PINCKNEY",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-428-0345",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fernandina Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.