Individual provider Active NPI

Amy Beth Foss, RMHCI

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1437964905
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH24393 Issued in FL
Practice address
12058 San Jose Blvd Ste 503
Jacksonville, FL 32223-8668
Phone
(904) 710-7586
NPI assigned
Feb 11, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH24393 FL Primary

Addresses

Primary practice location

12058 San Jose Blvd Ste 503
Jacksonville, FL 32223-8668

Mailing address

2497 Creekfront Dr
Green Cove Springs, FL 32043-6220
Phone (904) 891-1354

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

LicenseStateTypeSpecialty
IMH24393FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Open Arms Counseling Center Georgia LLC CurrentSince Feb 23, 2025 Accepting new patients

Locations

12058 San Jose Blvd
Ste 503
Jacksonville, FL 32223
Phone (770) 891-8439

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1437964905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2497 CREEKFRONT DR",
            "city": "GREEN COVE SPRINGS",
            "state": "FL",
            "postal_code": "320436220",
            "telephone_number": "904-891-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 503",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238668",
            "telephone_number": "904-710-7586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOSS",
        "first_name": "AMY",
        "middle_name": "BETH",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-11",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24393",
            "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 Feb 11, 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.