Organization Active NPI

Modern Therapies LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Yulee, FL
National Provider Identifier
1750261822
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MODERN THERAPIES LLC
Practice address
86185 Fortune Dr
Yulee, FL 32097-3929
Phone
(941) 840-1749
NPI assigned
Sep 8, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Authorized official

Name
Patrycja W Kucharska, LMHCNPI 1750024261
Title
Owner
Phone
(941) 840-1749

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

86185 Fortune Dr
Yulee, FL 32097-3929

Mailing address

86185 Fortune Dr
Yulee, FL 32097-3929
Phone (941) 840-1749

Other practice location 1

1225 W Beaver St Ste 205-1
Jacksonville, FL 32204-1414
Phone (941) 840-1749

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1757289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759363200000",
    "number": "1750261822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86185 FORTUNE DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973929",
            "telephone_number": "941-840-1749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86185 FORTUNE DR",
            "city": "YULEE",
            "state": "FL",
            "postal_code": "320973929",
            "telephone_number": "941-840-1749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W Beaver St Ste 205-1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322041414",
            "country_code": "US",
            "telephone_number": "941-840-1749",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MODERN THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-08",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A",
        "authorized_official_last_name": "KUCHARSKA",
        "authorized_official_first_name": "PATRYCJA",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-840-1749",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yulee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; 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.