Organization Active NPI

Heather M. Fewox-Steen, LMHC, LLC.

  • Adolescent and Children Mental Health Clinic/Center
  • Jacksonville, FL
National Provider Identifier
1679080824
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
MH10370 Issued in FL
Legal business name
HEATHER M. FEWOX-STEEN, LMHC, LLC.
Practice address
3955 Riverside Ave Ste 2F
Jacksonville, FL 32205-3313
Phone
(904) 434-2536
NPI assigned
Jan 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Authorized official

Name
Mrs. Heather M Fewox-Steen, LMHC
Title
Licensed Mental Health Counselor
Phone
(904) 434-2536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MH10370 FL Primary

Addresses

Primary practice location

3955 Riverside Ave Ste 2F
Jacksonville, FL 32205-3313

Mailing address

3955 Riverside Ave Ste 2F
Jacksonville, FL 32205-3313
Phone (904) 434-2536

National Provider Directory

National Provider Directory

Locations

3955 Riverside Ave
Ste 2F
Jacksonville, FL 32205
Phone (904) 434-2536

NPI Registry JSON

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

{
    "created_epoch": "1515456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515456000000",
    "number": "1679080824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 RIVERSIDE AVE STE 2F",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322053313",
            "telephone_number": "904-434-2536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3955 RIVERSIDE AVE STE 2F",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322053313",
            "telephone_number": "904-434-2536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER M. FEWOX-STEEN, LMHC, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-09",
        "last_updated": "2018-01-09",
        "status": "A",
        "authorized_official_last_name": "FEWOX-STEEN",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-434-2536",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "MH10370",
            "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 Jan 9, 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.