Active NPI
Hope and Healing Center, LLC
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12197
- Legal business name
- HOPE AND HEALING CENTER, LLC
- Practice address
- 6015 Morrow St E
Suite114
Jacksonville, FL 32217-2121 - Phone
- (800) 896-6105
- Fax
- (904) 637-4716
- NPI assigned
- Aug 18, 2014
- Last updated
- Aug 29, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Selma Zakomac Bacevac, LMHC
- Title
- Owner/Clinical Director
- Phone
- (800) 896-6105
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH12197 | FL | Primary |
Addresses
Primary practice location
6015 Morrow St E
Suite114
Jacksonville, FL 32217-2121
Mailing address
4411 Sunbeam Rd # 56918
Suite 101
Jacksonville, FL 32257-7525
Phone (800) 896-6105
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010484600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4411 Sunbeam Rd
Ste 101
Jacksonville, FL 32257
6015 Morrow St E
Ste 114
Jacksonville, FL 32217
Phone (800) 896-6105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- New Port Richey, FL
- NPI 1144505546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408320000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472428800000",
"number": "1477952364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4411 SUNBEAM RD # 56918",
"address_2": "SUITE 101",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322577525",
"telephone_number": "800-896-6105",
"fax_number": "904-637-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6015 MORROW ST E",
"address_2": "SUITE114",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322172121",
"telephone_number": "800-896-6105",
"fax_number": "904-637-4716"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPE AND HEALING CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-08-18",
"last_updated": "2016-08-29",
"status": "A",
"authorized_official_last_name": "BACEVAC",
"authorized_official_first_name": "SELMA",
"authorized_official_middle_name": "ZAKOMAC",
"authorized_official_title_or_position": "OWNER/CLINICAL DIRECTOR",
"authorized_official_telephone_number": "800-896-6105",
"authorized_official_credential": "LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH12197",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010484600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Nancy Hoover, LMHC
- Terena D Hoover
- Hope Abounds Behavioral Health, LLC
- Hope Adult Daycare
- Hope and a Future Ministries Inc (Living Well Counseling and Wellness)
- Hope Center for Children and Families
- Hope Haven Association Inc. (Hope Haven)
- Hope Haven Children's Clinic & Family Center
- Hope Healthcare LLC
- Hope Home Healthcare, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.