Individual provider Active NPI

Meghan Jeffrey

  • Mental Health Counselor
  • Jacksonville Beach, FL
National Provider Identifier
1710553334
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22728 Issued in FL
Practice address
402 4TH St N
Jacksonville Beach, FL 32250-5620
Phone
(904) 624-1960
NPI assigned
Jun 3, 2021
Reactivated
Aug 3, 2021
Last updated
Aug 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH22728 FL Primary

Addresses

Primary practice location

402 4TH St N
Jacksonville Beach, FL 32250-5620

Mailing address

402 4TH St N
Jacksonville Beach, FL 32250-5620
Phone (904) 624-1960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231116001696 FL Practitioner - Mental Health Counselor 3173970878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Beenen Counseling, LLCGroup PAC ID 2769661081, 2 clinicians
Baptist Behavioral Health LLCGroup PAC ID 7315166394, 120 clinicians

Practice addresses (Care Compare)

402 4TH St N
Jacksonville Beach, FL 32250-5620
Phone (904) 624-1960

836 Prudential Dr
Suite 1507
Jacksonville, FL 32207-8334
Phone (904) 376-3800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22728FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Beenen Counseling, LLC Mental Health CurrentSince Nov 4, 2024 Accepting new patients
Baptist Behavioral Health, LLC Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Southern Baptist Hospital of Florida Inc Past Accepting new patients

Locations

820 Prudential Dr
Ste 510
Jacksonville, FL 32207

836 Prudential Dr
Ste 1506
Jacksonville, FL 32207
Phone (904) 346-0050

836 Prudential Dr
Ste 1507
Jacksonville, FL 32207

402 4th St N
Jacksonville Beach, FL 32250
Phone (904) 624-1960

87010 Professional Way
Yulee, FL 32097

Organizations & group practices 3

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": "1622678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1710553334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 4TH ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505620",
            "telephone_number": "904-624-1960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 4TH ST N",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505620",
            "telephone_number": "904-624-1960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFREY",
        "first_name": "MEGHAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-03",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "deactivation_date": "2021-06-07",
        "reactivation_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.