Connected Conversations Counseling, L.L.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 14518 Issued in FL

Legal business name

CONNECTED CONVERSATIONS COUNSELING, L.L.C.

Practice address

4133 University Blvd S
Suite Number 3
Jacksonville, FL 32216-4350

Phone

(904) 536-5520

NPI assigned

May 12, 2017

Organization subpart

No

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

Authorized official

Name

Andrieah Johnson, LMHCNPI 1760809115

Title

Owner

Phone

(904) 536-5520

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Andrieah Johnson, LMHC, CAMS, CCTP

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1760809115
  NPD Authorized official

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

{
    "created_epoch": "1494547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1407383102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 CLOCK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322118853",
            "telephone_number": "904-536-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4133 UNIVERSITY BLVD S",
            "address_2": "SUITE NUMBER 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164350",
            "telephone_number": "904-536-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTED CONVERSATIONS COUNSELING, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-12",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANDRIEAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-536-5520",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 14518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.