Active NPI
Jason E Kugel, MS, LMHC, NCC
- Mental Health Counselor
- Yulee, FL
National Provider Identifier
1891443792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH19084
- Practice address
- 76466 Deerwood Dr
Yulee, FL 32097-1603 - Phone
- (904) 548-7243
- NPI assigned
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH19084 | FL | Primary |
Addresses
Primary practice location
76466 Deerwood Dr
Yulee, FL 32097-1603
Mailing address
76466 Deerwood Dr
Yulee, FL 32097-1603
Phone (904) 548-7243
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH19084 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646870400000",
"number": "1891443792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76466 DEERWOOD DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320971603",
"telephone_number": "904-548-7243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76466 DEERWOOD DR",
"city": "YULEE",
"state": "FL",
"postal_code": "320971603",
"telephone_number": "904-548-7243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUGEL",
"first_name": "JASON",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "MS, LMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-10",
"last_updated": "2022-03-10",
"certification_date": "2022-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH19084",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yulee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.