Mindfulness Counseling Center of Jacksonville

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

7855MH Issued in FL

Legal business name

MINDFULNESS COUNSELING CENTER OF JACKSONVILLE

Practice address

2380 3Rd St S
Suite 2
Jacksonville Beach, FL 32250-4072

Phone

(904) 599-3099

Fax

(904) 713-2967

NPI assigned

Oct 24, 2015

Last updated

Oct 24, 2015By 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

Julie Ingber, LMHCNPI 1528258035

Title

Mental Health Counselor

Phone

(904) 686-5018

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.

• Julie Ruth Ingber, LMHC

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1528258035
  Authorized official Same address or phone

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

{
    "created_epoch": "1445644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445644800000",
    "number": "1598137994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-599-3099",
            "fax_number": "904-713-2967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2380 3RD ST S",
            "address_2": "SUITE 2",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322504072",
            "telephone_number": "904-599-3099",
            "fax_number": "904-713-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFULNESS COUNSELING CENTER OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-24",
        "last_updated": "2015-10-24",
        "status": "A",
        "authorized_official_last_name": "INGBER",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-686-5018",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "7855MH",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Mental Health Clinic/Center in Jacksonville Beach, FL
• Providers in Jacksonville Beach, 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 Oct 24, 2015; 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.