Organization Active NPI

Grace House PA

  • Mental Health Counselor
  • Orange Park, FL
National Provider Identifier
1528201647
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7812 Issued in FL
Legal business name
GRACE HOUSE PA
Practice address
1724 Village Way
Suite a
Orange Park, FL 32073-5264
Phone
(904) 269-0886
Fax
(904) 269-0499
NPI assigned
Apr 20, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Mrs. Cathy Morey, MED, MA, LMHC
Title
Director
Phone
(904) 269-0886

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X MH7812 FL Primary

Addresses

Primary practice location

1724 Village Way
Suite a
Orange Park, FL 32073-5264

Mailing address

1724 Village Way
Suite a
Orange Park, FL 32073-5264
Phone (904) 269-0886

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1240185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1528201647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1724 VILLAGE WAY",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735264",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1724 VILLAGE WAY",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735264",
            "telephone_number": "904-269-0886",
            "fax_number": "904-269-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HOUSE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-20",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "MOREY",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "904-269-0886",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MED, MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.