Individual provider Active NPI

Aaron Kindsvatter, PH.D. LMHC

  • Mental Health Counselor
  • Jacksonville Beach, FL
National Provider Identifier
1861265134
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH25062 Issued in FL
Practice address
4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone
(239) 690-6906
NPI assigned
Oct 30, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH25062 FL Primary

Addresses

Primary practice location

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419

Mailing address

4300 Marsh Landing Blvd Ste 101
Jacksonville Beach, FL 32250-1419
Phone (239) 690-6906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251231002650 FL Practitioner - Mental Health Counselor 0749776573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dna Comprehensive Therapy Services LLCGroup PAC ID 2860619632, 446 clinicians

Practice addresses (Care Compare)

4300 Marsh Landing Blvd
Suite 101
Jacksonville Beach, FL 32250-1419
Phone (833) 362-7935

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH25062FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Relational Psychotherapy Current Accepting new patients
Bonita Springs Retirement Village, Inc. CurrentSince Dec 22, 2025 Accepting new patients
FM RNC LLC CurrentSince Dec 22, 2025 Accepting new patients
Dna Comprehensive Therapy Services, LLC Mental Health Past Accepting new patients
Marvin Behavioral Health Ma PC Mental Health Past Accepting new patients

Locations

4310 Metro Pkwy
Ste 205
Fort Myers, FL 33916

2055 Reyko Rd
Ste 100
Jacksonville, FL 32207
Phone (904) 648-8200

4300 Marsh Landing Blvd
Ste 101
Jacksonville Beach, FL 32250
Phone (904) 686-2690

3191 Harbor Blvd
Ste A
Pt Charlotte, FL 33952
Phone (941) 766-9555

5825 Argerian Dr
Ste 101
Wesley Chapel, FL 33545
Phone (813) 687-4870

Organizations & group practices 5

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": "1698624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1861265134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "239-690-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 MARSH LANDING BLVD STE 101",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322501419",
            "telephone_number": "239-690-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINDSVATTER",
        "first_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "PH.D. LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-10-30",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH25062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville Beach, FL

Sources for this page

Verify at the official NPI Registry.