NPIMap

Organization Active NPI

Amd Counseling & Consulting, LLC

Doing business as Tapestry Behavioral Health

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1346996477
Registry record updated Jun 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
AMD COUNSELING & CONSULTING, LLC
Doing business as
Tapestry Behavioral Health
Practice address
1912 Hamilton St Ste 108
Jacksonville, FL 32210-2077
Phone
(904) 419-9864
Fax
(904) 212-0929
NPI assigned
Feb 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2022

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

Authorized official

Name
Ms. Allison Dempsey, LMHC, BCBANPI 1194153536
Title
Ceo
Phone
(904) 419-9864

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X

Addresses

Primary practice location

1912 Hamilton St Ste 108
Jacksonville, FL 32210-2077

Mailing address

4530 Saint Johns Ave Ste 15-214
Jacksonville, FL 32210-1852
Phone (904) 419-9864

Other identifiers 1

IdentifierTypeStateIssuer
018152000MedicaidFL

Other names 1

  • Tapestry Behavioral Health Doing business as

National Provider Directory

National Provider Directory

Locations

4530 Saint Johns Ave
Ste 15214
Jacksonville, FL 32210

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1346996477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4530 SAINT JOHNS AVE STE 15-214",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322101852",
            "telephone_number": "904-419-9864",
            "fax_number": "904-212-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAMILTON ST STE 108",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102077",
            "telephone_number": "904-419-9864",
            "fax_number": "904-212-0929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMD COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-28",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "DEMPSEY",
        "authorized_official_first_name": "ALLISON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-419-9864",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC, BCBA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018152000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tapestry Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tapestry Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.