NPIMap

Organization Active NPI

Full Circle Counseling Services, LLC

  • Counselor
  • Orange Park, FL
National Provider Identifier
1902253495
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH10736 Issued in FL
Legal business name
FULL CIRCLE COUNSELING SERVICES, LLC
Practice address
115 College Drive
Orange Park, FL 32065
Phone
(904) 602-9802
Fax
(904) 621-5113
NPI assigned
May 16, 2016
Last updated
Sep 25, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Authorized official

Name
Jenny Lee Sandell, LMHCNPI 1386935245
Title
Owner
Phone
(904) 615-0152

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
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X MH10736 FL Primary

Addresses

Primary practice location

115 College Drive
Orange Park, FL 32065

Mailing address

P.O. Box 65190
Orange Park, FL 32065-0004
Phone (904) 602-9802

National Provider Directory

National Provider Directory

Locations

8833 Perimeter Park Blvd
Ste 802
Jacksonville, FL 32216

2575 County Road 220
Ste 102
Middleburg, FL 32068
Phone (904) 614-0152

115 College Dr
Orange Park, FL 32065
Phone (904) 602-9802

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695600000000",
    "number": "1902253495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 65190",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320650004",
            "telephone_number": "904-602-9802",
            "fax_number": "904-621-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 COLLEGE DRIVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32065",
            "telephone_number": "904-602-9802",
            "fax_number": "904-621-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL CIRCLE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-16",
        "last_updated": "2023-09-25",
        "status": "A",
        "authorized_official_last_name": "SANDELL",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-615-0152",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH10736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.