Organization Active NPI

Enrich Counseling Services LLC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1699459693
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ENRICH COUNSELING SERVICES LLC
Practice address
5900 Townsend Rd Apt 125
Jacksonville, FL 32244-4564
Phone
(813) 966-3030
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Jeannan Haygood, LCSWNPI 1982024006
Title
Owner
Phone
(813) 966-3030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5900 Townsend Rd Apt 125
Jacksonville, FL 32244-4564

Mailing address

6001 Argyle Forest Blvd Ste 21
#231
Jacksonville, FL 32244-6127
Phone (813) 966-3030

Other names 1

  • Jeannan Haygood LCSW Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1699459693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001 ARGYLE FOREST BLVD STE 21",
            "address_2": "#231",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446127",
            "telephone_number": "813-966-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 TOWNSEND RD APT 125",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322444564",
            "telephone_number": "813-966-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENRICH COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "HAYGOOD",
        "authorized_official_first_name": "JEANNAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-966-3030",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jeannan Haygood LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 12, 2023; 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.