Organization Active NPI

K Shealey Counseling and Family Services, LLC

  • Case Management Agency
  • Jacksonville, FL
National Provider Identifier
1669726212
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
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

Updated by the provider on Mar 17, 2018

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)CodeLicenseStatePrimary
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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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.

Verify at the official NPI Registry.