Active NPI
John Warren, L.M.H.C.
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SB563 | Other | FL | MEDICARE |
| 020024300 | Medicaid | FL | |
| 103252500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CO, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Care Services, LLC | Current | Accepting new patients | |
| Social Care Services, LLC | Mental Health | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1013309657
GA
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1336972207
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.