Adam C Douglas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

26419 Issued in FL

Practice address

2309 Park St
Jacksonville, FL 32204-4317

Phone

(904) 323-0910

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1922826668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7057 HOLIDAY RD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322169119",
            "telephone_number": "904-704-7352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 PARK ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322044317",
            "telephone_number": "904-323-0910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGLAS",
        "first_name": "ADAM",
        "middle_name": "C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "26419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marjorie Dougherty, MS
• Maureen Teresa Dougherty, PSY.D.
• Kathryn Doughty
• Douglas M Castellano MD PA
• Abigail Douglas
• Bethany Ann Douglas, D.M.D.
• Breanna Douglas
• Hannah Douglas, APRN
• Hannah D Douglas
• Katherine Douglas, RD/RDN

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.