Stephanie Mitchell Jackson, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC014850 Issued in GA

Practice address

7050 Dayton Rd
Jacksonville, FL 32210-2766

Phone

(912) 506-8264

NPI assigned

Jun 20, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Mitchell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Joye Psychology & Wellness, LLC

  • Clinical Psychologist
  • Savannah, GA
  • NPI 1659892487
  NPD (past)

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718841600000",
    "number": "1851135255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7050 DAYTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102766",
            "telephone_number": "912-506-8264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7050 DAYTON RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322102766",
            "telephone_number": "912-506-8264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Commercial Dr",
            "address_purpose": "LOCATION",
            "city": "Savannah",
            "state": "GA",
            "postal_code": "314063685",
            "country_code": "US",
            "telephone_number": "912-436-3736",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL JACKSON",
        "first_name": "STEPHANIE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC014850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "MITCHELL",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Missing Piece Behavioral Solutions LLC
• Mission Complete Transportation Services
• Mission Possible Transport, Inc
• Tyler Austin Mistretta, MD
• Chandni Navnit Mistry
• Mitchell Mastered Services
• Mitchell R Levine DMD PA
• Mitchell R Levine DMD, PA, North Florida Orthodontics
• Mitchell S Rothstein M D Inc
• Mitchell S Rothstein M D Inc

• 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 Jun 20, 2024; 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.