Organization Active NPI

Comprehensive Counseling and Family Services, LLC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1750863130
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COMPREHENSIVE COUNSELING AND FAMILY SERVICES, LLC
Practice address
3115 Spring Glen Rd Ste 504
Jacksonville, FL 32207-5907
Phone
(904) 404-8113
Fax
(904) 453-8668
NPI assigned
Sep 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Authorized official

Name
Kendra Denita Shealey, MANPI 1831433895
Title
Ceo
Phone
(904) 404-8113

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

3115 Spring Glen Rd Ste 504
Jacksonville, FL 32207-5907

Mailing address

6001Argyle Forest Boulevard
Suite 21, PMB 272
Jacksonville, FL 32244-6127
Phone (904) 404-8113

National Provider Directory

National Provider Directory

Locations

3115 Spring Glen Rd
Ste 504
Jacksonville, FL 32207
Phone (904) 404-8113

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": "1535932800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725580800000",
    "number": "1750863130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6001ARGYLE FOREST BOULEVARD",
            "address_2": "SUITE 21, PMB 272",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322446127",
            "telephone_number": "904-404-8113",
            "fax_number": "904-453-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 SPRING GLEN RD STE 504",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322075907",
            "telephone_number": "904-404-8113",
            "fax_number": "904-453-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE COUNSELING AND FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-03",
        "last_updated": "2024-09-06",
        "certification_date": "2024-09-06",
        "status": "A",
        "authorized_official_last_name": "SHEALEY",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_middle_name": "DENITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-404-8113",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Sep 6, 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.