Paula Standberry, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21681 Issued in FL

Practice address

4803 Churchill Dr
Jacksonville, FL 32208-1847

Phone

(904) 535-4072

NPI assigned

Jul 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Breakthrough Therapy and Counseling LLC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1881458883
  NPD Authorized official

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

{
    "created_epoch": "1595289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1497363923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4803 CHURCHILL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081847",
            "telephone_number": "904-535-4072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4803 CHURCHILL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322081847",
            "telephone_number": "904-535-4072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STANDBERRY",
        "first_name": "PAULA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-21",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fernando Stancampiano, MD
• China Stanciel
• Sebastian Robert Stanciu, MD
• Stephanie Ann Stancliff, DNP
• Wray Douglas Standard, BCABA
• Riia N Standifer
• Lea Stanfield
• Petra Stanfield, RN
• Alisha Stanford, DMD
• Theresa Stanford, LMHC

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.