NPIMap

Organization Active NPI

Family Matters of Florida LLC

  • Developmental Therapist
  • Orange Park, FL
National Provider Identifier
1912469396
Registry record updated Apr 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Legal business name
FAMILY MATTERS OF FLORIDA LLC
Practice address
165 Wells Rd Ste 203
Orange Park, FL 32073-3036
Phone
(904) 269-3522
NPI assigned
Apr 3, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2019

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

Authorized official

Name
Tracy Johnston, LMHC
Title
Owner
Phone
(904) 269-3522

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Developmental TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 222Q00000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

165 Wells Rd Ste 203
Orange Park, FL 32073-3036

Mailing address

165 Wells Rd Ste 203
Orange Park, FL 32073-3036
Phone (904) 269-3522

National Provider Directory

National Provider Directory

Locations

165 Wells Rd
Ste 203
Orange Park, FL 32073
Phone (904) 269-3522

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1912469396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733036",
            "telephone_number": "904-269-3522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 WELLS RD STE 203",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320733036",
            "telephone_number": "904-269-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MATTERS OF FLORIDA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "TRACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-269-3522",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 3, 2019; 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.