Active NPI
Ronald E Bobus Acsw LMFT & Associates PA
- Marriage & Family Therapist
- Jacksonville Beach, FL
National Provider Identifier
1649437567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT1194
- Legal business name
- RONALD E BOBUS ACSW LMFT & ASSOCIATES PA
- Practice address
- 3082 3Rd St S
Jacksonville Beach, FL 32250-6033 - Phone
- (904) 246-2629
- Fax
- (904) 246-1510
- NPI assigned
- May 19, 2008
- 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
- Ronald E Bobus, ACSW LMFT
- Title
- PVST
- Phone
- (904) 246-2629
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MT1194 | FL | Primary |
Addresses
Primary practice location
3082 3Rd St S
Jacksonville Beach, FL 32250-6033
Mailing address
PO Box 1421
Ponte Vedra, FL 32004-1421
Phone (904) 246-2629
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7471671 | Other | FL | AETNA |
| 136144193193 | Other | FL | HUMANA |
| 10745333 | Other | FL | CAQH |
| 734016000 | Other | FL | MAGELLAN |
| Z2457 | Other | FL | BLUE CROSS BLUE SHIELD |
| A059051 | Other | FL | VALUE OPTIONS |
National Provider Directory
National Provider DirectoryLocations
3082 3rd St S
Jacksonville Beach, FL 32250
Phone (904) 246-2629
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Jacksonville Beach, FL
- NPI 1265597405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211155200000",
"number": "1649437567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1421",
"city": "PONTE VEDRA",
"state": "FL",
"postal_code": "320041421",
"telephone_number": "904-246-2629",
"fax_number": "904-246-1510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3082 3RD ST S",
"city": "JACKSONVILLE BEACH",
"state": "FL",
"postal_code": "322506033",
"telephone_number": "904-246-2629",
"fax_number": "904-246-1510"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RONALD E BOBUS ACSW LMFT & ASSOCIATES PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A",
"authorized_official_last_name": "BOBUS",
"authorized_official_first_name": "RONALD",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "PVST",
"authorized_official_telephone_number": "904-246-2629",
"authorized_official_credential": "ACSW LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT1194",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7471671",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "136144193193",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "10745333",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "734016000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "Z2457",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "A059051",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.