Jennifer Ann Counseling of Florida LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 6933 Issued in FL

Legal business name

JENNIFER ANN COUNSELING OF FLORIDA LLC

Practice address

1409 Kingsley Ave Ste 9E
Orange Park, FL 32073-4579

Phone

(904) 215-4151

NPI assigned

Sep 14, 2015

Last updated

Sep 14, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Ann Dahl, MS, CRC, LMHCNPI 1558454025

Title

Owner

Phone

(904) 651-2490

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer Ann Dahl, MS, CRC, LMHC

  • Counselor
  • Jacksonville, FL
  • NPI 1558454025
  NPD Authorized official

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442188800000",
    "number": "1760850200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1956 HARBOR ISLAND DR",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320037257",
            "telephone_number": "904-651-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 KINGSLEY AVE STE 9E",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734579",
            "telephone_number": "904-215-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ANN COUNSELING OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-14",
        "last_updated": "2015-09-14",
        "status": "A",
        "authorized_official_last_name": "DAHL",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-651-2490",
        "authorized_official_credential": "MS, CRC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tamari N Jenkins
• Jennifer R. Ferrer, Ma, LMHC, PA
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• JK Health Systems, LLC (1 Primary Care)

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2015; 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.