Active NPI
Agape Health & Wellness Center Inc.
- Community/Behavioral Health Agency
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- AGAPE HEALTH & WELLNESS CENTER INC.
- Practice address
- 11555 Central Pkwy Ste 601
Jacksonville, FL 32224-2698 - Phone
- (904) 619-6715
- Fax
- (904) 297-2266
- NPI assigned
- Apr 6, 2021
- Last updated
- Aug 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erakal Goodman, MD
- Title
- Ceo
- Phone
- (904) 619-6715
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | ||
| Mental Health Counselor | 101YM0800X | NU | ||
| Case Management Agency | 251B00000X | NU | ||
| Home Health Agency | 251E00000X | NU | ||
| Community/Behavioral Health Agency | 251S00000X | NU | Primary | |
| Health Educator | 174H00000X | NU |
Addresses
Primary practice location
11555 Central Pkwy Ste 601
Jacksonville, FL 32224-2698
Mailing address
11555 Central Pkwy Ste 601
Jacksonville, FL 32224-2698
Phone (904) 619-6715
Other practice location 1
6817 Southpoint Pkwy Ste 1201
Jacksonville, FL 32216-6296
Phone (904) 661-1592
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125235000 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2283912 | Agape Health & Wellness Center, Inc | Certificate of waiver | Jun 13, 2027 |
National Provider Directory
National Provider DirectoryLocations
11555 Central Pkwy
Ste 601
Jacksonville, FL 32224
Phone (904) 559-9071
6138 Kennerly Rd
Ste AND150
Jacksonville, FL 32216
Phone (386) 283-2010
6138 Kennerly Rd
Unit 150
Jacksonville, FL 32216
Phone (904) 619-6715
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Physician Assistant
- Jacksonville, FL
- NPI 1356394522
-
- Infectious Disease Physician
- Jacksonville, FL
- NPI 1245347004
-
- Social Worker
- Jacksonville, FL
- NPI 1740108620
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617667200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1786752000000",
"number": "1386223469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11555 CENTRAL PKWY STE 601",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242698",
"telephone_number": "904-619-6715",
"fax_number": "904-297-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11555 CENTRAL PKWY STE 601",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322242698",
"telephone_number": "904-619-6715",
"fax_number": "904-297-2266"
}
],
"practiceLocations": [
{
"address_1": "6817 Southpoint Pkwy Ste 1201",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322166296",
"country_code": "US",
"telephone_number": "904-661-1592",
"fax_number": "904-297-2266",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "AGAPE HEALTH & WELLNESS CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-06",
"last_updated": "2026-08-15",
"certification_date": "2026-08-15",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "ERAKAL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "904-619-6715",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "125235000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Agape Community Health Center, Inc.
- Agape Community Health Centers, Inc
- Agape Community Health Mobile Unit
- Agape Family Dentistry (Smile Designs By Dr. Charlotte Gerry)
- Agape Family Education Project and Counseling Program Inc.
- Agape Home Services, Inc
- Agape Homecare Plus Inc.
- Agape Love Healthcare Agency Inc
- Agape Pharmacy (Duval County Health Department)
- Agapelife Health Group, LLC (BrightStar Care of the Beaches & Ponte Vedra)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.