Active NPI
Patricia Kindland, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1417447319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH15324
- Practice address
- 3733 University Blvd W Ste 212
Jacksonville, FL 32217-2155 - Phone
- (904) 716-2405
- NPI assigned
- May 16, 2018
- Last updated
- Jun 11, 2019
- 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 | MH15324 | FL | Primary |
Addresses
Primary practice location
3733 University Blvd W Ste 212
Jacksonville, FL 32217-2155
Mailing address
3439 Nightscape Cir
Jacksonville, FL 32224-1621
Phone (904) 716-2405
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 |
|---|---|---|---|
| MH15324 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1417447319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3439 NIGHTSCAPE CIR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322241621",
"telephone_number": "904-716-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3733 UNIVERSITY BLVD W STE 212",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172155",
"telephone_number": "904-716-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDLAND",
"first_name": "PATRICIA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-05-16",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH15324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.