One Stop Community Base Behavioral Healthcare Inc

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC

Practice address

12058 San Jose Blvd Ste 903
Jacksonville, FL 32223-8667

Phone

(894) 886-0361

Fax

(904) 886-0382

NPI assigned

Sep 21, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Farkhanda Khan, LMHCNPI 1528489598

Title

Therapist

Phone

(904) 403-3241

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Farkhanda Khan, LMHC

  • Mental Health Counselor
  • Yulee, FL
  • NPI 1528489598
  NPD Authorized official

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

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537488000000",
    "number": "1700360039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 FARRINGTON ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241821",
            "telephone_number": "904-403-3241",
            "fax_number": "904-223-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12058 SAN JOSE BLVD STE 903",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238667",
            "telephone_number": "894-886-0361",
            "fax_number": "904-886-0382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FARKHANDA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "904-403-3241",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528489598",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One Home Medical Equipment LLC
• One of a Kind Services
• One of a Kind Services
• One Path Diagnostics LLC
• One Step Forward ABA FL Inc
• One Touch Therapy Center
• One Way Caring and Consulting
• Felicia K Oneal, LPN
• Carmencita O Ong, MD
• Jeanine Onischuck, N.P.

• 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 Sep 21, 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.