Active NPI
Amaogechukwu Jessica Acholonu, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1962956284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18530
- Practice address
- 1650 Prudential Dr Ste 210
Jacksonville, FL 32207-8149 - Phone
- (904) 376-3800
- Fax
- (904) 390-7396
- NPI assigned
- Aug 4, 2016
- Last updated
- Sep 19, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18530 | FL | Primary |
Addresses
Primary practice location
1650 Prudential Dr Ste 210
Jacksonville, FL 32207-8149
Mailing address
PO Box 748519
Atlanta, GA 30374-8519
Phone (904) 376-3800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Behavioral Health, LLC | Mental Health | Current | Accepting new patients |
Locations
1650 Prudential Dr
Ste 210
Jacksonville, FL 32207
820 Prudential Dr
Ste 510
Jacksonville, FL 32207
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1470268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758240000000",
"number": "1962956284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 748519",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303748519",
"telephone_number": "904-376-3800",
"fax_number": "904-376-3998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1650 PRUDENTIAL DR STE 210",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322078149",
"telephone_number": "904-376-3800",
"fax_number": "904-390-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACHOLONU",
"first_name": "AMAOGECHUKWU",
"middle_name": "JESSICA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-08-04",
"last_updated": "2025-09-19",
"certification_date": "2025-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
- Premal Shobhan Acharya, DO
- Viral Acharya, MD
- Achieve Physical Therapy Limited Partnership (Achieve Physical Therapy)
- Achieve Physical Therapy Limited Partnership
- Achio Mental Health Psychiatry Therapy LLC
- Felix N. Acholonu, M.D.
- Logan Wright Acker
- Ackerman Cancer Center, P.a.
- Ackerman Cancer Center, PA (Ackerman Urology)
- Ackerman Cancer Center, PA (Ackerman Urology)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.