Active NPI
Jessie Huebner, LMHC, LPC, CEDS-C
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH14748
- Practice address
- 6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450 - Phone
- (561) 316-3577
- Fax
- (561) 258-3381
- NPI assigned
- Apr 14, 2015
- Last updated
- Feb 16, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 37PC00717800 | NJ | |
| Mental Health Counselor | 101YM0800X | MH14748 | FL | Primary |
Addresses
Primary practice location
6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450
Mailing address
6100 Greenland Rd Ste 903
Jacksonville, FL 32258-7450
Phone (561) 316-3577
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH14748 | FL | MD | Mental Health Counselor |
| 37PC00717800 | NJ | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Restored Purpose Counseling Services, PLLC | Mental Health | Current | Accepting new patients |
Locations
4114 Sunbeam Rd
Ste 101
Jacksonville, FL 32257
Phone (407) 594-7511
6100 Greenland Rd
Ste 903
Jacksonville, FL 32258
Phone (239) 293-8403
224 Datura St
Ste 1015
West Palm Beach, FL 33401
Phone (561) 600-8764
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1992321640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708041600000",
"number": "1710373972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6100 GREENLAND RD STE 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587450",
"telephone_number": "561-316-3577",
"fax_number": "561-258-3381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6100 GREENLAND RD STE 903",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322587450",
"telephone_number": "561-316-3577",
"fax_number": "561-258-3381"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUEBNER",
"first_name": "JESSIE",
"name_prefix": "Mrs.",
"credential": "LMHC, LPC, CEDS-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2024-02-16",
"certification_date": "2024-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "37PC00717800",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH14748",
"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 Feb 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.