Organization Active NPI

Dr. Brian Celso, LLC

  • Adult Mental Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1619888617
Registry record updated Sep 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DR. BRIAN CELSO, LLC
Practice address
4114 Herschel St Ste 110
Jacksonville, FL 32210-2200
Phone
(904) 210-1130
Fax
(904) 374-3192
NPI assigned
Sep 16, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2026

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

Authorized official

Name
Dr. Brian G Celso, PH.D.
Title
Owner
Phone
(904) 210-1130

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

4114 Herschel St Ste 110
Jacksonville, FL 32210-2200

Mailing address

2775 Saint Johns Ave Apt 5
Jacksonville, FL 32205-8260
Phone (904) 210-1130

NPI Registry JSON

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

{
    "created_epoch": "1789516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1619888617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2775 SAINT JOHNS AVE APT 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322058260",
            "telephone_number": "904-210-1130",
            "fax_number": "904-374-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4114 HERSCHEL ST STE 110",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102200",
            "telephone_number": "904-210-1130",
            "fax_number": "904-374-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BRIAN CELSO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-16",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "CELSO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-210-1130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.