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JEWISH FAMILY AND COMMUNITY SERVICES NPI 1538255088


NPI Information

NPI: 1538255088
Provider Name: JEWISH FAMILY AND COMMUNITY SERVICES
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 10D2060946

Address:
8540 BAYCENTER RD
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 448-1933
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JEWISH FAMILY AND COMMUNITY SERVICES is a mental health counselor in Jacksonville, FL. JEWISH FAMILY AND COMMUNITY SERVICES NPI is 1538255088. The provider is registered as an organization entity type.

The provider's business location address is:

8540 BAYCENTER RD
JACKSONVILLE, FL
ZIP 32256-420
Phone: (904) 448-1933
Fax: (904) 448-0349

The provider's authorized official is Dena Farris .
The authorized official title is Billing & Credentialing and has the following contact phone number (904) 583-4076.

The CLIA number assigned to this NPI record is 10D2060946 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 3/1/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthNo
2101YM0800XCounselorMental HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1003485000MEDICAIDFLORIDA
2761063700MEDICAIDFLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.