Individual provider Active NPI

Dakota Anne Mackenzie Upp

  • Counselor
  • Jacksonville, FL
National Provider Identifier
1821643149
Registry record updated Aug 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1225 W Beaver St Ste 205
Jacksonville, FL 32204-1416
Phone
(904) 712-3540
NPI assigned
Aug 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1225 W Beaver St Ste 205
Jacksonville, FL 32204-1416

Mailing address

1225 W Beaver St Ste 205
Jacksonville, FL 32204-1416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Inspire Me Partners, Inc. CurrentSince Aug 18, 2019 Accepting new patients
Helping Hands Inspire Happy Hearts, LLC PastSince Apr 1, 2022 Accepting new patients

Locations

1225 W Beaver St
Ste 205
Jacksonville, FL 32204
Phone (904) 414-2106

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1821643149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 W BEAVER ST STE 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 W BEAVER ST STE 205",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322041416",
            "telephone_number": "904-712-3540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UPP",
        "first_name": "DAKOTA ANNE",
        "middle_name": "MACKENZIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "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 Aug 4, 2019; 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.