Organization Active NPI

Optimal Mental Health and Wellness Group Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1619895612
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
OPTIMAL MENTAL HEALTH AND WELLNESS GROUP INC
Practice address
5011 Gate Pkwy BLDG 100
Jacksonville, FL 32256-0830
Phone
(877) 296-7846
Fax
(470) 222-2746
NPI assigned
Jul 7, 2026
Last updated
Jul 7, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Authorized official

Name
Ms. Arlene Denise Johnson, PMHNP-BC
Title
The Chief Executive Officer
Phone
(470) 866-7796

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X NU Primary

Addresses

Primary practice location

5011 Gate Pkwy BLDG 100
Jacksonville, FL 32256-0830

Mailing address

5011 Gate Pkwy BLDG 100
Jacksonville, FL 32256-0830
Phone (877) 296-7846

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1783382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783382400000",
    "number": "1619895612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 GATE PKWY BLDG 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560830",
            "telephone_number": "877-296-7846",
            "fax_number": "470-222-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 GATE PKWY BLDG 100",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322560830",
            "telephone_number": "877-296-7846",
            "fax_number": "470-222-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MENTAL HEALTH AND WELLNESS GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-07",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ARLENE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "THE CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "470-866-7796",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "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 Jul 7, 2026; 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.