Individual provider Active NPI

Jessica Marie Bell, MED/EDS, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1477018463
Registry record updated Oct 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH18430 Issued in FL
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

Updated by the provider on Oct 8, 2020

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 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

LicenseStateTypeSpecialty
MH18430FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mosaic Minds Counseling, LLC Mental Health CurrentSince Aug 28, 2022 Accepting new patients
Child Guidance Center, Inc. PastSince Jun 22, 2021 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.

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.

Verify at the official NPI Registry.