Jessica Holesko, MS, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT4694 Issued in FL

Practice address

1102 A1A N Ste 203
Ponte Vedra, FL 32082-4098

Phone

(904) 569-6875

Fax

(904) 833-3373

NPI assigned

Aug 9, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Shukrana LLCGroup PAC ID 7618335159, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

Locations

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

• Shukrana LLC

  dba Ellie Mental Health

  • Marriage & Family Therapist
  • Ponte Vedra, FL
  • NPI 1053018143
  Medicare reassignment Care Compare group NPD
• Rivers of Hope Counseling Center LLC

  dba The Rivers of Hope Counseling Center LLC

  • Mental Health Counselor
  • Chantilly, VA
  • NPI 1922607977

  FL, Marriage & Family Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1447988472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 ARBOR CLUB DR UNIT 103",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320822606",
            "telephone_number": "904-514-9621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 A1A N STE 203",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320824098",
            "telephone_number": "904-569-6875",
            "fax_number": "904-833-3373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 Arbor Club Dr Unit 103",
            "address_purpose": "LOCATION",
            "city": "Ponte Vedra Beach",
            "state": "FL",
            "postal_code": "320822606",
            "country_code": "US",
            "telephone_number": "904-514-9621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLESKO",
        "first_name": "JESSICA",
        "credential": "MS, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT4694",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily K Hart, LAC, AP
• Kristopher Rex Harth, DMD
• Kelli Ann Hathaway, APRN
• Joan K Hirshenson, RD, LDN
• Andrew Joseph Hogan, M.D.
• Holiday CVS LLC (CVS Pharmacy 03631)
• Amanda Maria Holt, AUTONOMOUS APRN, FNP
• Jerry D Howard
• Katherine Nicole Howdy, APRN
• Human Roots Integrative Psychiatry PLLC

• Marriage & Family Therapist in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.