Healing Heart Behavioral Consultation

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

HEALING HEART BEHAVIORAL CONSULTATION

Practice address

155 Bartram Market Dr Ste 135
Saint Johns, FL 32259-4583

Phone

(904) 257-6327

NPI assigned

Jun 27, 2024

Last updated

Jun 27, 2024By 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

Shicara Irvin, NPNPI 1144782095

Title

Owner/Ceo

Phone

(904) 257-6327

Specialties & licenses 1

Addresses

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.

• Shicara Irvin

  • Psychiatric/Mental Health Nurse Practitioner
  • Bonifay, FL
  • NPI 1144782095
  NPD Authorized official

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

{
    "created_epoch": "1719446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719446400000",
    "number": "1538904933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BARTRAM MARKET DR STE 135",
            "city": "SAINT JOHNS",
            "state": "FL",
            "postal_code": "322594583",
            "telephone_number": "904-257-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING HEART BEHAVIORAL CONSULTATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-27",
        "last_updated": "2024-06-27",
        "certification_date": "2024-06-27",
        "status": "A",
        "authorized_official_last_name": "IRVIN",
        "authorized_official_first_name": "SHICARA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "904-257-6327",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Trevor Hardman
• Leslie Jennice Harrison, LMFT
• Micaela Harrison, DNP
• Hathcock Counseling, LLC
• Dana M Hatwig, APRN
• Healing Roots Chiropractic Centers LLC
• Healx Care LLC (Revive Wound & Wellness)
• Cestau Henry
• Rachel Henry, DNP, AGACNP-BC
• Allison Beth Hentkowski, PA-C

• Adult Mental Health Clinic/Center in Saint Johns, FL
• Providers in Saint Johns, FL by specialty
• Adult Mental Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2024; 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.