Whitaker Wellness Spa, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

WHITAKER WELLNESS SPA, LLC

Practice address

8624 Ribbon Falls LN
Jacksonville, FL 32244-4990

Phone

(904) 576-6868

NPI assigned

May 1, 2023

Last updated

Dec 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shantell WhitakerNPI 1043973738

Title

Owner/Employee

Phone

(904) 576-6868

Specialties & licenses 4

Addresses

Locations

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.

• Shantell Whitaker, EDS, LMHC, LMT

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1043973738
  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765065600000",
    "number": "1528757176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8624 RIBBON FALLS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444990",
            "telephone_number": "904-576-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8624 RIBBON FALLS LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444990",
            "telephone_number": "904-576-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITAKER WELLNESS SPA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-01",
        "last_updated": "2025-12-07",
        "certification_date": "2025-12-07",
        "status": "A",
        "authorized_official_last_name": "WHITAKER",
        "authorized_official_first_name": "SHANTELL",
        "authorized_official_title_or_position": "OWNER/EMPLOYEE",
        "authorized_official_telephone_number": "904-576-6868"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daryl Whipple
• Grace E Whipple
• Linsey Whipple
• Trekena Shalese Whipple
• Beranton James Whisenant, M.D.
• Alyssa Marie Whitaker
• Ashlan Elizabeth Whitaker, DNP
• Dale A. Whitaker, M.D.
• Jakiya Alexis Whitaker
• Shantell Whitaker, EDS, LMHC, LMT

• 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 7, 2025; 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.