Therapeutic Consulting Associates, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH10676 Issued in FL

Legal business name

THERAPEUTIC CONSULTING ASSOCIATES, LLC

Practice address

1912 Hamilton St
Suite #103
Jacksonville, FL 32210-2076

Phone

(904) 729-2719

Fax

(904) 485-8887

NPI assigned

Aug 25, 2014

Last updated

Aug 25, 2014By 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

Angela Lynn Hainsworth, LMHC

Title

Ra

Phone

(904) 729-2719

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Irish Beckles, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1598028763
  NPD (past)

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

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408924800000",
    "number": "1558761841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1912 HAMILTON ST",
            "address_2": "SUITE #103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102076",
            "telephone_number": "904-729-2719",
            "fax_number": "904-485-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1912 HAMILTON ST",
            "address_2": "SUITE #103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102076",
            "telephone_number": "904-729-2719",
            "fax_number": "904-485-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPEUTIC CONSULTING ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-25",
        "last_updated": "2014-08-25",
        "status": "A",
        "authorized_official_last_name": "HAINSWORTH",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "RA",
        "authorized_official_telephone_number": "904-729-2719",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10995",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH10676",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008141000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Therafit Physical Therapy, LLC.
• Theramed Medical Associates LLC
• Theramed Medical Associates LLC
• Theramed, LLC
• Therapeutic BD Services, LLC
• Theraplay Jax LLC
• Therapy Source LLC
• Therapy Source, LLC
• Therapy-Interventions
• Therapyworks of Jacksonville Inc (Thrive Therapy and Lymphedema Clinic)

• 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 Aug 25, 2014; 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.