Active NPI
Shreders & Associates, Inc.
- Mental Health Counselor
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 10130
- Legal business name
- SHREDERS & ASSOCIATES, INC.
- Practice address
- 12058 San Jose Blvd
Suite 104
Jacksonville, FL 32223-8669 - Phone
- (904) 522-7920
- Fax
- (833) 563-2523
- NPI assigned
- Aug 21, 2015
- 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
- Ms. Karly S. Shreders, MACP, LMHC
- Title
- Director
- Phone
- (904) 466-1791
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 10130 | FL | Primary |
Addresses
Primary practice location
12058 San Jose Blvd
Suite 104
Jacksonville, FL 32223-8669
Mailing address
12058 San Jose Blvd
Suite 104
Jacksonville, FL 32223-8669
Phone (904) 466-1791
Other practice location 1
2950 Halcyon Ln
Suite 703
Jacksonville, FL 32223-6689
Phone (904) 200-0604
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12058 San Jose Blvd
Ste 104
Jacksonville, FL 32223
Phone (318) 820-6795
2950 Halcyon Ln
Ste 703
Jacksonville, FL 32223
Phone (904) 638-7042
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 1316276686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440115200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1801263108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD",
"address_2": "SUITE 104",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238669",
"telephone_number": "904-466-1791",
"fax_number": "833-563-2523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12058 SAN JOSE BLVD",
"address_2": "SUITE 104",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322238669",
"telephone_number": "904-522-7920",
"fax_number": "833-563-2523"
}
],
"practiceLocations": [
{
"address_1": "2950 Halcyon Ln",
"address_2": "Suite 703",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322236689",
"country_code": "US",
"telephone_number": "904-200-0604",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SHREDERS & ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-08-21",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "SHREDERS",
"authorized_official_first_name": "KARLY",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "904-466-1791",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MACP, LMHC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 10130",
"primary": true
}
],
"identifiers": [],
"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 Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.