Active NPI
Embodied Counseling, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Orange Park, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sabrina Nasta
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Mental Health Counselor
- Orange Park, FL
- NPI 1346885324
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.