Jem Therapy Services, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

JEM THERAPY SERVICES, LLC

Practice address

1409 Kingsley Ave,
BLDG 9, Suite D
Orange Park, FL 32073-4537

Phone

(904) 773-4665

Fax

(904) 773-4668

NPI assigned

Jul 3, 2023

Organization subpart

No

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

Authorized official

Name

Jennifer Matilla, LMHCNPI 1821462755

Title

Licensed Mental Health Counselor/Qu

Phone

(904) 773-4665

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Matilla

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1821462755
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1688342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688342400000",
    "number": "1558048405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE,",
            "address_2": "BLDG 9, SUITE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-773-4665",
            "fax_number": "904-773-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE,",
            "address_2": "BLDG 9, SUITE D",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734537",
            "telephone_number": "904-773-4665",
            "fax_number": "904-773-4668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEM THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-07-02",
        "status": "A",
        "authorized_official_last_name": "MATILLA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR/QU",
        "authorized_official_telephone_number": "904-773-4665",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jules M Jean-Pierre, MA
• Darline Jean, FNP
• Jeannie Mitchell, LMHC
• Jeffrey D Bishop Ma LMHC Inc
• Jeffrey S. Prieto, DDS
• Tamari N Jenkins
• Jennifer Ann Counseling of Florida LLC
• Jennifer R. Ferrer, Ma, LMHC, PA
• Taylor Jensen, MD
• Ronna Jean Jessee, MA

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, 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 Jul 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.