Active NPI
Jessica Marie Bell, MED/EDS, LMHC
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18430
- Practice address
- 12443 San Jose Blvd
Suite #202
Jacksonville, FL 32223 - Phone
- (904) 467-4668
- NPI assigned
- Feb 5, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18430 | FL | Primary |
Addresses
Primary practice location
12443 San Jose Blvd
Suite #202
Jacksonville, FL 32223
Mailing address
150 Busch Dr Unit 77171
Jacksonville, FL 32226-7783
Phone (904) 467-4668
Other practice location 1
5776 Saint Augustine Rd
Jacksonville, FL 32207-8046
Phone (904) 448-4700
Other practice location 2
5221 Dunn Ave Lot 73
Jacksonville, FL 32218-4377
Phone (904) 467-4668
Other practice location 3
4595 Lexington Ave
Jacksonville, FL 32210-2058
Phone (904) 448-4700
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH18430 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mosaic Minds Counseling, LLC | Mental Health | Current | Accepting new patients |
| Child Guidance Center, Inc. | Past | Accepting new patients |
Locations
150 Busch Dr
Unit 77171
Jacksonville, FL 32226
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Boca Raton, FL
- NPI 1255059978
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1144898974
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1549324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602115200000",
"number": "1477018463",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 BUSCH DR UNIT 77171",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322267783",
"telephone_number": "904-467-4668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12443 SAN JOSE BLVD",
"address_2": "SUITE #202",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "32223",
"telephone_number": "904-467-4668"
}
],
"practiceLocations": [
{
"address_1": "5776 Saint Augustine Rd",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322078046",
"country_code": "US",
"telephone_number": "904-448-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5221 Dunn Ave Lot 73",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322184377",
"country_code": "US",
"telephone_number": "904-467-4668",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4595 Lexington Ave",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322102058",
"country_code": "US",
"telephone_number": "904-448-4700",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BELL",
"first_name": "JESSICA",
"middle_name": "MARIE",
"credential": "MED/EDS, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-05",
"last_updated": "2020-10-08",
"certification_date": "2020-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18430",
"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 Oct 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.