Kavanagh Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

KAVANAGH COUNSELING

Practice address

1000 Riverside Ave Ste 312
Jacksonville, FL 32204-4174

Phone

(904) 318-2258

NPI assigned

Dec 4, 2023

Organization subpart

No

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

Authorized official

Name

Tracey Kavanagh, LMHCNPI 1184641052

Title

President

Phone

(904) 318-2258

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Tracey Kavanagh, LMHC

  • Counselor
  • Jacksonville, FL
  • NPI 1184641052
  NPD Authorized official

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701648000000",
    "number": "1780450528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 APPIAN AVE",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920040",
            "telephone_number": "904-318-2258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 RIVERSIDE AVE STE 312",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044174",
            "telephone_number": "904-318-2258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1637 Race Track Rd Ste 221",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322593238",
            "country_code": "US",
            "telephone_number": "904-318-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KAVANAGH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-02",
        "status": "A",
        "authorized_official_last_name": "KAVANAGH",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-318-2258",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan Lee Kaufman, M.D.
• Michael Joseph Kaufman
• Bruce Kaufmann, D.D.S.
• Andrew Kaunitz, M.D.
• Judith Kaur, MD
• Allison Schaefer Kavanagh, ARNP
• Stephen Jospeh Kavanagh, LMHC
• Tracey Kavanagh, LMHC
• Aisha Kavumkal, MD
• Layla Kawaf, DO

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 Dec 4, 2023; 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.