Individual provider Active NPI

Taci Brianne Clay, LMHC

  • Counselor
  • Jacksonville, FL
National Provider Identifier
1700473840
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
24046 Issued in FL
Practice address
9210 Cypress Green Dr
Jacksonville, FL 32256-7772
Phone
(904) 206-8405
NPI assigned
Dec 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 24046 FL Primary

Addresses

Primary practice location

9210 Cypress Green Dr
Jacksonville, FL 32256-7772

Mailing address

9210 Cypress Green Dr
Jacksonville, FL 32256-7772
Phone (904) 206-8405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Aug 12, 2025 through Aug 12, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
24046FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Greenhouse Therapy Services LLC CurrentSince Aug 17, 2025 Accepting new patients

Locations

9210 Cypress Green Dr
Jacksonville, FL 32256
Phone (904) 206-8405

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1700473840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9210 CYPRESS GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567772",
            "telephone_number": "904-206-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9210 CYPRESS GREEN DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567772",
            "telephone_number": "904-206-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLAY",
        "first_name": "TACI",
        "middle_name": "BRIANNE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-23",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "24046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.