Northwest Behavioral Health

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

NORTHWEST BEHAVIORAL HEALTH

Practice address

2392 Edgewood Ave N
Jacksonville, FL 32254-1725

Phone

(904) 781-7797

Fax

(904) 683-8169

NPI assigned

Mar 20, 2020

Last updated

Mar 20, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayerica Evans, BHA, MHS

Title

Targeted Case Manager

Phone

(904) 250-7363

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584662400000",
    "number": "1992331011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 EDGEWOOD AVE N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541725",
            "telephone_number": "904-781-7797",
            "fax_number": "904-683-8169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2392 EDGEWOOD AVE N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322541725",
            "telephone_number": "904-781-7797",
            "fax_number": "904-683-8169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHWEST BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KAYERICA",
        "authorized_official_title_or_position": "TARGETED CASE MANAGER",
        "authorized_official_telephone_number": "904-250-7363",
        "authorized_official_credential": "BHA, MHS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine V Northrop, MD
• Elizabeth Rose Northrop, DPT
• Northstar Counseling
• Judith Northup, M.D.
• Northwest Behavioral Health
• Northwest Behavioral Health Services
• Northwest Behavioral Health Services, Inc
• Northwest Behavioral Health Services, Inc.
• Northwest Behavioral HLTH SVS Inc
• Northwest Bhvrl HLTH SVS,Inc

• Case Management Agency in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Case Management Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.