Jessica Carter O'Brien

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MH10541 Issued in FL

Legal business name

JESSICA CARTER O'BRIEN

Practice address

13000 Sawgrass Village Cir
Ste 11
Ponte Vedra Beach, FL 32082-5016

Phone

(904) 280-8555

Fax

(904) 285-8562

NPI assigned

Apr 30, 2015

Organization subpart

No

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

Authorized official

Name

Jessica Carter O'Brien, MA, LMHCNPI 1578893285

Title

Licensed Mental Health Counselor

Phone

(904) 349-1710

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, and the practitioner matching its NPPES authorized official.

• Jessica Carter O'Brien, MA

  • Mental Health Counselor
  • Jacksonville, FL
  • NPI 1578893285
  Authorized official Same address or phone

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430352000000",
    "number": "1790162535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13000 SAWGRASS VILLAGE CIR",
            "address_2": "STE 11",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825016",
            "telephone_number": "904-280-8555",
            "fax_number": "904-285-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13000 SAWGRASS VILLAGE CIR",
            "address_2": "STE 11",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320825016",
            "telephone_number": "904-280-8555",
            "fax_number": "904-285-8562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CARTER O'BRIEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-30",
        "last_updated": "2015-04-30",
        "status": "A",
        "authorized_official_last_name": "O'BRIEN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "CARTER",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-349-1710",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH10541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Jacobs, PH.D.
• Ashley Marie Jacoby, LMHC
• Farha Mohamed Haji Jamaldin
• Janice Wachtel, PHD, LLC
• Jba South LLC (Scoliosisptjax)
• John B Harris MD PA (Florida Skin Cancer Center)
• Stephanie Kate Johns, MSN, APRN-BC
• Philip E Johnson, BS
• Kevin C Jones, M.D.
• Morgan Linder Jones, DC

• Community/Behavioral Health Agency in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Community/Behavioral Health Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.