Organization Active NPI

First Coast Counseling and Recovery

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1417832619
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FIRST COAST COUNSELING AND RECOVERY
Practice address
3995 Hunt Club Rd
Jacksonville, FL 32224-8416
Phone
(904) 325-7770
NPI assigned
Aug 7, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Authorized official

Name
Michelle Campbell, MSNPI 1447982905
Title
Owner
Phone
(727) 424-3192

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

3995 Hunt Club Rd
Jacksonville, FL 32224-8416

Mailing address

3995 Hunt Club Rd
Jacksonville, FL 32224-8416
Phone (904) 325-7770

National Provider Directory

National Provider Directory

Locations

3995 Hunt Club Rd
Jacksonville, FL 32224
Phone (904) 325-7770

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": "1754524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754524800000",
    "number": "1417832619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3995 HUNT CLUB RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248416",
            "telephone_number": "904-325-7770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3995 HUNT CLUB RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322248416",
            "telephone_number": "904-325-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST COUNSELING AND RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-07",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-424-3192",
        "authorized_official_credential": "MS"
    },
    "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 Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.