Organization Active NPI

Perspectives Anew Therapy LLC

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1871115022
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PERSPECTIVES ANEW THERAPY LLC
Practice address
4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908
Phone
(904) 414-2524
Fax
(904) 431-3542
NPI assigned
May 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Authorized official

Name
Stephanie PeytonNPI 1194255901
Title
Owner/Provider
Phone
(904) 414-2524

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908

Mailing address

4237 Salisbury Rd Ste 302
Jacksonville, FL 32216-0908
Phone (904) 414-2524

Other identifiers 1

IdentifierTypeStateIssuer
105093400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200717000979 FL Part B Supplier - Clinic/Group Practice 2567886930 Receives reassigned benefits from 3 practitioners
Practice locations: Jacksonville, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743724800000",
    "number": "1871115022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160908",
            "telephone_number": "904-414-2524",
            "fax_number": "904-431-3542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 SALISBURY RD STE 302",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322160908",
            "telephone_number": "904-414-2524",
            "fax_number": "904-431-3542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSPECTIVES ANEW THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "904-414-2524"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105093400",
            "state": "FL"
        }
    ],
    "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 Apr 4, 2025; 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.