Organization Active NPI

Embodied Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Orange Park, FL
National Provider Identifier
1972382331
Registry record updated Apr 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
EMBODIED COUNSELING, LLC
Practice address
1406 Kingsley Ave Ste A2
Orange Park, FL 32073-4528
Phone
(904) 735-7385
NPI assigned
Sep 25, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2024

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

Authorized official

Name
Sabrina NastaNPI 1346885324
Title
Licensed Mental Health Counselor
Phone
(904) 735-7385

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1406 Kingsley Ave Ste A2
Orange Park, FL 32073-4528

Mailing address

12452 Blackwater CT
Jacksonville, FL 32223-4057

National Provider Directory

National Provider Directory

Locations

1406 Kingsley Ave
Ste A2
Orange Park, FL 32073
Phone (904) 290-4601

Practitioners & affiliated clinicians

Practitioners 1

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": "1695600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711929600000",
    "number": "1972382331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12452 BLACKWATER CT",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322234057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 KINGSLEY AVE STE A2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734528",
            "telephone_number": "904-735-7385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBODIED COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-25",
        "last_updated": "2024-04-01",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "NASTA",
        "authorized_official_first_name": "SABRINA",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-735-7385"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

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