Active NPI
Dr. Brian Celso, LLC
- Adult Mental Health Clinic/Center
- Jacksonville, FL
National Provider Identifier
1619888617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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": []
}
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- Dr. Elisa Laconich, PH.D., PLLC
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.