NPIMap

Organization Active NPI

Connect to Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville, FL
National Provider Identifier
1548856933
Registry record updated Dec 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CONNECT TO COUNSELING, LLC
Practice address
1225 W Beaver St Ste 120
Jacksonville, FL 32204-1415
Phone
(904) 648-6200
Fax
(904) 648-6300
NPI assigned
Dec 19, 2020
Last updated
Dec 19, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2020

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

Authorized official

Name
Charita BryantNPI 1083383707
Title
Owner
Phone
(904) 648-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU
Clinical Social Worker 1041C0700X NU

Addresses

Primary practice location

1225 W Beaver St Ste 120
Jacksonville, FL 32204-1415

Mailing address

1225 W Beaver St Ste 120
Jacksonville, FL 32204-1415
Phone (904) 648-6200

National Provider Directory

National Provider Directory

Locations

1225 W Beaver St
Ste 120
Jacksonville, FL 32204
Phone (904) 648-6200

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1608336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608336000000",
    "number": "1548856933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W BEAVER ST STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041415",
            "telephone_number": "904-648-6200",
            "fax_number": "904-648-6300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W BEAVER ST STE 120",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041415",
            "telephone_number": "904-648-6200",
            "fax_number": "904-648-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT TO COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-19",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A",
        "authorized_official_last_name": "BRYANT",
        "authorized_official_first_name": "CHARITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-648-6200"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2020; 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.