Individual provider Active NPI

John Warren, L.M.H.C.

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1639507254
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216-1111
Phone
(904) 305-5864
Fax
(904) 485-8460
NPI assigned
Oct 16, 2013
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216-1111

Mailing address

8833 Perimeter Park Blvd Ste 201
Jacksonville, FL 32216-1111
Phone (904) 305-5864

Other practice location 1

1857 Wells Rd Ste 6
Orange Park, FL 32073-6763
Phone (904) 294-5329

Other practice location 2

550 Balmoral Cir N Ste 201
Jacksonville, FL 32218-5577
Phone (904) 294-5329

Other identifiers 3

IdentifierTypeStateIssuer
SB563OtherFLMEDICARE
020024300MedicaidFL
103252500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CO, GA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240110002353 FL Practitioner - Mental Health Counselor 7012204647 Reassigns benefits to 1 organization
I20241231001706 CO Practitioner - Mental Health Counselor 7012204647 Reassigns benefits to 1 organization
I20250207001855 GA Practitioner - Mental Health Counselor 7012204647 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Social Care Services, LLC CurrentSince Oct 7, 2025 Accepting new patients
Social Care Services, LLC Mental Health CurrentSince Dec 1, 2024 Accepting new patients

Locations

9615 E County Line Rd
Ste B525
Centennial, CO 80112
Phone (904) 294-5329

550 Balmoral Cir N
Ste 201
Jacksonville, FL 32218
Phone (904) 294-5329

8833 Perimeter Park Blvd
Ste 201
Jacksonville, FL 32216
Phone (904) 294-5329

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1381881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1639507254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-305-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8833 PERIMETER PARK BLVD STE 201",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322161111",
            "telephone_number": "904-305-5864",
            "fax_number": "904-485-8460"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1857 Wells Rd Ste 6",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320736763",
            "country_code": "US",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "550 Balmoral Cir N Ste 201",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322185577",
            "country_code": "US",
            "telephone_number": "904-294-5329",
            "fax_number": "904-485-8460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JOHN",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-10-16",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "SB563",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020024300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103252500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.