Individual provider Active NPI

Ashley Nicole Simpson de la Cruz, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1457894248
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17848 Issued in FL
Practice address
8540 Baycenter Rd
Jacksonville, FL 32256-7420
Phone
(904) 448-1933
NPI assigned
Nov 28, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH17848 FL Primary

Addresses

Primary practice location

8540 Baycenter Rd
Jacksonville, FL 32256-7420

Mailing address

330 Corporate Way Ste 200
Orange Park, FL 32073-6214
Phone (904) 282-6331

Other practice location 1

463380 State Road 200 Unit B
Yulee, FL 32097-3240
Phone (904) 500-9808

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240618000365 FL Practitioner - Mental Health Counselor 6103369202 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family and Community Services Mental Health CurrentSince Oct 29, 2023 Accepting new patients
Physicians Group Services PA Single Specialty CurrentSince May 6, 2024 Accepting new patients
The LJD Jewish Family & Community Services, Inc Mental Health CurrentSince Jul 1, 2022 Accepting new patients
Physicians Group Services PA Single Specialty CurrentSince May 6, 2024 Accepting new patients
First Coast Behavior Solutions, LLC Mental Health Past Accepting new patients

Locations

1865 Lime St
Ste 100
Fernandina Beach, FL 32034
Phone (904) 277-2052

1906 Southside Blvd
Jacksonville, FL 32216
Phone (904) 724-3083

8540 Baycenter Rd
Jacksonville, FL 32256
Phone (904) 394-5703

705 Wells Rd
#300
Orange Park, FL 32073
Phone (904) 282-5474

463380 State Road 200
Unit B
Yulee, FL 32097
Phone (904) 468-3080

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783296000000",
    "number": "1457894248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 CORPORATE WAY STE 200",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320736214",
            "telephone_number": "904-282-6331",
            "fax_number": "904-866-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 BAYCENTER RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567420",
            "telephone_number": "904-448-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463380 State Road 200 Unit B",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "320973240",
            "country_code": "US",
            "telephone_number": "904-500-9808",
            "fax_number": "904-432-0401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON DE LA CRUZ",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-28",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.