Active NPI
First Coast Counseling and Life Coaching, Inc.
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1932580685
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW8104
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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
- First Coast Community Development
- First Coast Community Development
- First Coast Community Support Services
- First Coast Community Support Services
- First Coast Community Wellness Services LLC
- First Coast Counseling and Recovery
- First Coast Dental Center, PLLC
- First Coast Dermatology P a
- First Coast Diabetes Institute, LLC
- First Coast Eye Associates, PA
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.