NPIMap

Organization Active NPI

Beaches Therapy LLC

Doing business as Audrey Roach-Slivinski, LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
National Provider Identifier
1922471721
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
11846 Issued in FL
Legal business name
BEACHES THERAPY LLC
Doing business as
Audrey Roach-Slivinski, LCSW
Practice address
1552 Roberts Dr
Jacksonville Beach, FL 32250-3222
Phone
(904) 729-2947
NPI assigned
Nov 3, 2015
Last updated
Mar 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Authorized official

Name
Audrey Roach-Slivinski, LCSWNPI 1770892267
Title
Owner
Phone
(904) 729-2947

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X 11846 FL Primary
Adult Mental Health Clinic/Center 261QM0850X 11846 FL
Adolescent and Children Mental Health Clinic/Center 261QM0855X 11846 FL
Clinical Social Worker 1041C0700X 11846 FL

Addresses

Primary practice location

1552 Roberts Dr
Jacksonville Beach, FL 32250-3222

Mailing address

1552 Roberts Dr
Jacksonville Beach, FL 32250-3222
Phone (904) 729-2947

Other practice location 1

3552 Sanctuary Blvd
Jacksonville Beach, FL 32250-2574
Phone (904) 729-2947

Other names 1

  • Audrey Roach-Slivinski, LCSW Doing business as

National Provider Directory

National Provider Directory

Locations

1205 Beach Blvd
#10
Jacksonville Beach, FL 32250
Phone (904) 729-2947

1552 Roberts Dr
Jacksonville Beach, FL 32250
Phone (904) 299-3420

Practitioners & affiliated clinicians

Practitioners 8

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": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1922471721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1552 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-729-2947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1552 ROBERTS DR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503222",
            "telephone_number": "904-729-2947"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3552 Sanctuary Blvd",
            "address_purpose": "LOCATION",
            "city": "Jacksonville Beach",
            "state": "FL",
            "postal_code": "322502574",
            "country_code": "US",
            "telephone_number": "904-729-2947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BEACHES THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "ROACH-SLIVINSKI",
        "authorized_official_first_name": "AUDREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-729-2947",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "FL",
            "license": "11846",
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "FL",
            "license": "11846",
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "FL",
            "license": "11846",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "11846",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Audrey Roach-Slivinski, LCSW",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.