Organization Active NPI

Married to Navy Counseling Services, LLC

  • Mental Health Counselor
  • Jacksonville, FL
National Provider Identifier
1912524158
Registry record updated Jan 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MARRIED TO NAVY COUNSELING SERVICES, LLC
Practice address
6271 Saint Augustine Rd Ste 24-1426
Jacksonville, FL 32217-2523
Phone
(661) 320-4015
Fax
(661) 475-5170
NPI assigned
Jul 4, 2020
Last updated
Jan 12, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2024

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

Authorized official

Name
Trenye Black, LMHCNPI 1629597877
Title
Owner
Phone
(904) 894-4477

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
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

6271 Saint Augustine Rd Ste 24-1426
Jacksonville, FL 32217-2523

Mailing address

6271 Saint Augustine Rd Ste 24-1426
Jacksonville, FL 32217-2523
Phone (661) 320-4015

Other practice location 1

1225 W Beaver St Ste 120
Jacksonville, FL 32204-1415
Phone (904) 894-4477

Other practice location 2

415 Laurel St # 3101
San Diego, CA 92101-1605
Phone (661) 320-4015

National Provider Directory

National Provider Directory

Locations

415 Laurel St
#3101
San Diego, CA 92101
Phone (661) 320-4015

6271 Saint Augustine Rd
Ste 241426
Jacksonville, FL 32217
Phone (661) 320-4015

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1593820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705017600000",
    "number": "1912524158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6271 SAINT AUGUSTINE RD STE 24-1426",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172523",
            "telephone_number": "661-320-4015",
            "fax_number": "661-475-5170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6271 SAINT AUGUSTINE RD STE 24-1426",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172523",
            "telephone_number": "661-320-4015",
            "fax_number": "661-475-5170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W Beaver St Ste 120",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322041415",
            "country_code": "US",
            "telephone_number": "904-894-4477",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Laurel St # 3101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011605",
            "country_code": "US",
            "telephone_number": "661-320-4015",
            "fax_number": "661-475-5170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MARRIED TO NAVY COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-04",
        "last_updated": "2024-01-12",
        "certification_date": "2024-01-12",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "TRENYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-894-4477",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jan 12, 2024; 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.