NPIMap

Organization Active NPI

Serve Well LLC

  • School Counselor
  • Jacksonville, FL
National Provider Identifier
1427795202
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
School CounselorTaxonomy code 101YS0200X
Legal business name
SERVE WELL LLC
Practice address
8335 Freedom Crossing TRL Apt 4301
Jacksonville, FL 32256-8254
Phone
(904) 855-6408
NPI assigned
May 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Authorized official

Name
Karreecha Newby, MACC
Title
Owner
Phone
(904) 855-6408

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YS0200X Primary
Developmental TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 222Q00000X
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

8335 Freedom Crossing TRL Apt 4301
Jacksonville, FL 32256-8254

Mailing address

PO Box 23251
Jacksonville, FL 32241-3251
Phone (904) 855-6408

Other names 1

  • Serve Well Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://onedrive.live.com/?id=root&cid=2E07EFEA3E3FE110 Health Information Exchange (HIE)

National Provider Directory

National Provider Directory
Tax ID family
Serve Well2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671148800000",
    "number": "1427795202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23251",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322413251",
            "telephone_number": "904-855-6408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 FREEDOM CROSSING TRL APT 4301",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322568254",
            "telephone_number": "904-855-6408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVE WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A",
        "authorized_official_last_name": "NEWBY",
        "authorized_official_first_name": "KARREECHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-855-6408",
        "authorized_official_credential": "MACC"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://onedrive.live.com/?id=root&cid=2E07EFEA3E3FE110",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Documents",
            "address_1": "8335 Freedom Crossing Trl Apt 4301",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322568254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Serve Well",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Serve Well",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 16, 2022; 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.