Fitmind Therapeutics Advanced Behavioral Health

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FITMIND THERAPEUTICS ADVANCED BEHAVIORAL HEALTH

Doing business as

FitMind Therapeutics Advanced Behavioral Health LLC

Practice address

13241 Bartram Park Blvd Unit 613
Jacksonville, FL 32258-5214

Phone

(904) 827-3714

NPI assigned

Jun 4, 2024

Last updated

Apr 28, 2026By 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

Victoria Kozel, DNP, PMHNP-BC, FNPNPI 1518031202

Title

Ceo

Phone

(904) 679-5439

Specialties & licenses 2

Addresses

Other names 1

• FitMind Therapeutics Advanced Behavioral Health LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

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.

• Victoria Kozel, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Jacksonville, FL
  • NPI 1518031202
  Medicare reassignment NPD Authorized official
• Sarah Faith Boaz, M.D.

  • Psychiatry Physician
  • Jacksonville, FL
  • NPI 1588920250
  Medicare reassignment NPD

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

{
    "created_epoch": "1717459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777334400000",
    "number": "1811738768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12574 FLAGLER CENTER BLVD STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582615",
            "telephone_number": "315-269-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD UNIT 613",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585214",
            "telephone_number": "904-827-3714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12574 Flagler Center Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322582615",
            "country_code": "US",
            "telephone_number": "315-269-0847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FITMIND THERAPEUTICS ADVANCED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-04",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A",
        "authorized_official_last_name": "KOZEL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "904-679-5439",
        "authorized_official_credential": "DNP, PMHNP-BC, FNP"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FitMind Therapeutics Advanced Behavioral Health LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William Eugene Fisher
• Heather Fisse-Repole, LMHC, LMT
• Kathy Alison Fitchette, MA
• Daniel Fiterman Molinari, MD
• Jill Fites, PHARMD
• Camilla Fitz-Henry, CPNP-PC
• Tracey Fitzgerald, LPN
• John Michael Fitzgibbon, LCSW
• Stephen Fitzmeyer, MD
• Fitzone Medical Clinic LLC (DOT Clinic)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.

Verify at the official NPI Registry.