Active NPI
Comprehensive Counseling and Family Services, LLC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1750863130
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kendra Denita Shealey, MA
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1831433895
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
- Complete Care Pharmacy LLC
- Complete Dimensions Behavioral Health Corp
- Complete Helping Hands LLC
- Complex Orthopaedic Evaluations Inc.
- Comprehensive Care Partners LLC
- Comprehensive Healthcare Initiative
- Comprehensive Myofascial Therapy Associates, PA
- Comprehensive Psych Services LLC
- Constance Grace Compton, APRN
- Juliane N Compton, MS, CCC-SLP
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.