Organization Active NPI

Success Point, P.a.

  • Professional Counselor
  • Jacksonville, FL
National Provider Identifier
1427467588
Registry record updated Aug 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH9636 Issued in FL
Legal business name
SUCCESS POINT, P.A.
Practice address
1816 University Blvd W
Jacksonville, FL 32217-2012
Phone
(904) 672-6185
NPI assigned
Aug 3, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2014

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

Authorized official

Name
Mr. Jeffrey Engelskirch, M.ED., LMHCNPI 1780093849
Title
President
Phone
(904) 672-6185

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: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH9636 FL
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X MH9636 FL Primary
Behavior AnalystGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103K00000X MH9636 FL

Addresses

Primary practice location

1816 University Blvd W
Jacksonville, FL 32217-2012

Mailing address

1816 University Blvd W
Jacksonville, FL 32217-2012
Phone (904) 672-6185

National Provider Directory

National Provider Directory

Locations

1816 University Blvd W
Jacksonville, FL 32217
Phone (904) 398-1113

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": "1407024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407024000000",
    "number": "1427467588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172012",
            "telephone_number": "904-672-6185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 UNIVERSITY BLVD W",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172012",
            "telephone_number": "904-672-6185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS POINT, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-03",
        "last_updated": "2014-08-03",
        "status": "A",
        "authorized_official_last_name": "ENGELSKIRCH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-672-6185",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.ED., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9636",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH9636",
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "FL",
            "license": "MH9636",
            "primary": false
        }
    ],
    "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 3, 2014; 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.