New Life Counseling and Educational Services

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

NEW LIFE COUNSELING AND EDUCATIONAL SERVICES

Doing business as

New Life

Practice address

4417 Beach Blvd Ste 101
Jacksonville, FL 32207-4728

Phone

(904) 551-4953

Fax

(904) 212-2366

NPI assigned

Nov 5, 2019

Organization subpart

No

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

Authorized official

Name

Mrs. Meleecia Tucker, LMHCNPI 1043632102

Title

Clinical Director

Phone

(904) 536-4415

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• New Life Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Tax ID family

New Life2 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.

• New Life Counseling and Educational Services

  • Case Management Agency
  • Jacksonville, FL
  • NPI 1760175525
  NPD tax ID

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Meleecia Tucker, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1043632102

  Addiction (Substance Use Disorder)

  Medicare reassignment NPD Authorized official
• Deidra D Davis, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1821867425
  Medicare reassignment NPD
• Sanjae E Edwards, LCSW

  • Clinical Social Worker
  • Jacksonville, FL
  • NPI 1427379585
  Medicare reassignment NPD
• Cedric Singletary, IMH,MCAP, ICADC

  • Case Manager/Care Coordinator
  • Jacksonville, FL
  • NPI 1154742070

  Addiction (Substance Use Disorder)

  NPD
• Gabriel Speed, MA, LMHC

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1437924198
  NPD
• Carlos Torrellas, MD

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1245394832
  NPD (past)
• Mark Charles Hofmann, MD

  • Physical Medicine & Rehabilitation Physician
  • Asheville, NC
  • NPI 1962565457
  NPD (past)

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1699319491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4417 BEACH BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074728",
            "telephone_number": "904-536-4415",
            "fax_number": "904-212-2366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4417 BEACH BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322074728",
            "telephone_number": "904-551-4953",
            "fax_number": "904-212-2366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE COUNSELING AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "MELEECIA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "904-536-4415",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699319491",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Life",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "New Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• New Lynk, LLC (E- Lynk Pharmacy)
• New Path Psychology Educational and Psychological Services (New Path Psychology)

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.