Organization Active NPI

First Coast Counseling and Life Coaching, Inc.

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1932580685
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW8104 Issued in FL
Legal business name
FIRST COAST COUNSELING AND LIFE COACHING, INC.
Practice address
13500 Sutton Park Dr S
Suite 802
Jacksonville, FL 32224-5251
Phone
(904) 386-2729
NPI assigned
Jun 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Authorized official

Name
Mrs. Elizabeth Dowell Pascoe, LCSW
Title
Owner
Phone
(904) 386-2729

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW8104 FL Primary

Addresses

Primary practice location

13500 Sutton Park Dr S
Suite 802
Jacksonville, FL 32224-5251

Mailing address

13500 Sutton Park Dr S
Suite 802
Jacksonville, FL 32224-5251
Phone (904) 386-2729

National Provider Directory

National Provider Directory

Locations

13500 Sutton Park Dr S
Ste 802
Jacksonville, FL 32224
Phone (904) 386-2729

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1932580685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 SUTTON PARK DR S",
            "address_2": "SUITE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245251",
            "telephone_number": "904-386-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 SUTTON PARK DR S",
            "address_2": "SUITE 802",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322245251",
            "telephone_number": "904-386-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST COAST COUNSELING AND LIFE COACHING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A",
        "authorized_official_last_name": "PASCOE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "DOWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-386-2729",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8104",
            "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 Jun 17, 2015; 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.