NPIMap

Organization Active NPI

Agape Family Education Project and Counseling Program Inc.

  • Community/Behavioral Health Agency
  • Jacksonville, FL
National Provider Identifier
1760765838
Registry record updated Sep 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AGAPE FAMILY EDUCATION PROJECT AND COUNSELING PROGRAM INC.
Practice address
1372 Lane Ave S
Jacksonville, FL 32205-6885
Phone
(904) 416-4121
Fax
(904) 781-9182
NPI assigned
Sep 24, 2011
Last updated
Sep 1, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2013

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

Authorized official

Name
Ms. Edna Yowanda Herring-Cooper, MFT, CFLE
Title
Ceo/Administration
Phone
(904) 416-4121

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X FL
Home Health Agency 251E00000X FL
In Home Supportive Care Agency 253Z00000X FL
Local Education Agency (LEA) 251300000X FL
Community/Behavioral Health Agency 251S00000X FL Primary

Addresses

Primary practice location

1372 Lane Ave S
Jacksonville, FL 32205-6885

Mailing address

1372 Lane Ave S
Jacksonville, FL 32205-6885
Phone (904) 416-4121

Other identifiers 2

IdentifierTypeStateIssuer
CFLEOtherFLNATIONALCOUNCIL ON FAMILY RELATIONS
IMT1711OtherFLSTATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1316822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377993600000",
    "number": "1760765838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1372 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056885",
            "telephone_number": "904-416-4121",
            "fax_number": "904-781-9182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1372 LANE AVE S",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056885",
            "telephone_number": "904-416-4121",
            "fax_number": "904-781-9182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE FAMILY EDUCATION PROJECT AND COUNSELING PROGRAM INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-24",
        "last_updated": "2013-09-01",
        "status": "A",
        "authorized_official_last_name": "HERRING-COOPER",
        "authorized_official_first_name": "EDNA",
        "authorized_official_middle_name": "YOWANDA",
        "authorized_official_title_or_position": "CEO/ADMINISTRATION",
        "authorized_official_telephone_number": "904-416-4121",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MFT, CFLE"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONALCOUNCIL ON FAMILY RELATIONS",
            "identifier": "CFLE",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FLORIDA DEPARTMENT OF HEALTH DIVISION OF MEDICAL QUALITY ASSURANCE",
            "identifier": "IMT1711",
            "state": "FL"
        }
    ],
    "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 1, 2013; 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.