Active NPI
K Shealey Counseling and Family Services, LLC
- Case Management Agency
- Jacksonville, FL
National Provider Identifier
1669726212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- Legal business name
- K SHEALEY COUNSELING AND FAMILY SERVICES, LLC
- Practice address
- 3119 Spring Glen Rd Ste 105
Jacksonville, FL 32207-5921 - Phone
- (904) 404-8113
- NPI assigned
- Nov 5, 2012
- 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
- Ms. Kendra Shealey
- Title
- Therapist
- Phone
- (904) 404-8113
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | Primary |
Addresses
Primary practice location
3119 Spring Glen Rd Ste 105
Jacksonville, FL 32207-5921
Mailing address
3119 Spring Glen Rd Ste 105
Jacksonville, FL 32207-5921
Phone (904) 404-8113
Other practice location 1
6734 Periwinkle Dr
Jacksonville, FL 32244-5768
Phone (904) 509-6307
National Provider Directory
National Provider Directory- Tax ID family
- K Shealey Counseling and Family Services LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, FL
- NPI 1619481827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521244800000",
"number": "1669726212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3119 SPRING GLEN RD STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075921",
"telephone_number": "904-404-8113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3119 SPRING GLEN RD STE 105",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322075921",
"telephone_number": "904-404-8113"
}
],
"practiceLocations": [
{
"address_1": "6734 Periwinkle Dr",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322445768",
"country_code": "US",
"telephone_number": "904-509-6307",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "K SHEALEY COUNSELING AND FAMILY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-05",
"last_updated": "2018-03-17",
"status": "A",
"authorized_official_last_name": "SHEALEY",
"authorized_official_first_name": "KENDRA",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "904-404-8113",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.