Individual provider Active NPI

Jessie Huebner, LMHC, LPC, CEDS-C

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1710373972
Registry record updated Feb 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14748 Issued in FL
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
MH14748FLMDMental Health Counselor
37PC00717800NJMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Restored Purpose Counseling Services, PLLC Mental Health CurrentSince Jun 1, 2020 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.

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.

Verify at the official NPI Registry.