Beaches Education & Counseling

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW 10192 Issued in FL

Legal business name

BEACHES EDUCATION & COUNSELING

Practice address

166 A1A N
Ponte Vedra, FL 32082-5701

Phone

(904) 521-3622

NPI assigned

Aug 30, 2011

Organization subpart

No

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

Authorized official

Name

Janet FienemannNPI 1538465166

Title

Therapist

Phone

(904) 521-3622

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janet Fienemann

  • Clinical Social Worker
  • Jacksonville Beach, FL
  • NPI 1538465166
  NPD (past) Authorized official

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314662400000",
    "number": "1487935813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 5TH AVE N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 A1A N",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320825701",
            "telephone_number": "904-521-3622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES EDUCATION & COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2011-08-30",
        "status": "A",
        "authorized_official_last_name": "FIENEMANN",
        "authorized_official_first_name": "JANET",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "904-521-3622"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Baptist Primary Care, Inc.
• Baptist Primary Care, Inc.
• Barbara Dulaney Bishop, Ed.D, LMHC, P.a.
• Rochelle Bardis, APRN
• Amanda Bartell, D.P.M.
• Bella Cesca International, LLC
• Rebecca Bertone, APRN
• Alonzo Carlos Blackmon, D.D.S, M.S.
• Blue Water Dental of St. Johns
• Blue Water Health and Wellness LLC

• Clinical Social Worker in Ponte Vedra, FL
• Providers in Ponte Vedra, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2011; 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.