NORTHWEST BEHAVIORAL HEALTH SERVICES, INC (NPI# 1285779348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285779348 |
| Entity Type | Organization |
| Organization Name | NORTHWEST BEHAVIORAL HEALTH SERVICES, INC |
| Practice Address |
2392 Edgewood Ave N Jacksonville FL 32254-1725 |
| Practice Telephone | 9047817797 |
| Mailing Telephone | 9047817797 |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-04-24 |
| Authorized Official Name | PATRICIA SAMPSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9047817797 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
2392 EDGEWOOD AVE N |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32254-1725 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016839 | Northwest Behavioral Health Services, Inc. | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2005-07-14 |
| 1073110508 | Tia Denise Womack | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-10-07 |
| 1073128088 | Catherine Knight | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-09-15 |
| 1063022374 | Denzal Dillard | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1447860663 | Shawnee Kereenyaga | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-08-03 |
| 1851919641 | Titus L Kent Sr. | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-07-08 |
| 1558999722 | Antia R Henderson | Case Manager/Care Coordinator | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-04-01 |
| 1992331011 | Northwest Behavioral Health | Case Management | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-03-20 |
| 1588294086 | Beatrice I Elias | Counselor | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-23 |
| 1063052421 | Kimberly Eugenia Ruise | Social Worker | 2392 Edgewood Ave N, Jacksonville, FL 32254-1725 | 2020-01-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730673385 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1301 W Palm Ave Ste 210, Jacksonville, FL 32254 | 2018-06-18 |
| 1578072112 | Jules M Jean-pierre | Counselor | 2392 North Edgewood Avenue, Jacksonville, FL 32254 | 2017-09-27 |
| 1356869051 | Volaura Shanae Anderson | Counselor | 590 Ellis Rd, Jacksonville, FL 32254 | 2017-09-01 |
| 1962928291 | Angel Spivie | Counselor | 590 Ellis Road South Building 4, Jacksonville, FL 32254 | 2017-08-18 |
| 1376072777 | Tarkeshia Shuman | Contractor | 3150 Broadway Ave, Jacksoville, FL 32254 | 2017-06-08 |
| 1770931636 | Mamie Faith Peterson-mclaurn | Home Health | 2747 Sophia St, Jax, FL 32254 | 2016-06-01 |
| 1760803373 | Marian Lavonne Jones | Custodial Care Facility | 3501 Centerhill Dr. North, Jacksonville, FL 32254 | 2013-12-27 |
| 1659543981 | Monique Bosque-perez | Family Medicine | 781 Edgewood Ave N, Ufjp Commonwealth Family Practice, Jacksonville, FL 32254 | 2008-03-26 |
| 1508906652 | James Keith Riesz | Physical Therapist | 800 Lomax Street, Suite 105, Jacksonville, FL 32254 | 2007-02-07 |
| 1003903865 | Sabrina F Sessions | Pharmacist | 5050 Edgewood Court, Jacksonville, FL 32254 | 2006-10-05 |
| Find all providers in zip 32254 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104427632 | Sunzup Counseling and Wellness | Community/Behavioral Health | 3355 Claire Ln Apt 1116, Jacksonville, FL 32223-6662 | 2020-11-02 |
| 1063043420 | Elephant Clinic Ltd. | Community/Behavioral Health | 8 Unf Dr # 221, Jacksonville, FL 32224-7699 | 2020-02-03 |
| 1679056857 | Inspire To Rise Inc. | Community/Behavioral Health | 4603 Silverthorn Dr, Jacksonville, FL 32258-2010 | 2018-09-13 |
| 1558863787 | Positive Development, LLC | Community/Behavioral Health | 3840 Belfort Rd Ste 302, Jacksonville, FL 32216-8210 | 2018-03-04 |
| 1073012555 | Pivotal Step Services, Pllc | Community/Behavioral Health | 1106b Gum Branch Rd, Jacksonville, NC 28540-5743 | 2018-02-09 |
| 1518473594 | Werp LLC | Community/Behavioral Health | 5291 Collins Rd Lot 293, Jacksonville, FL 32244-5389 | 2017-12-28 |
| 1871007062 | National Youth Advocate Program, Inc | Community/Behavioral Health | 2200 Rosselle St, Jacksonville, FL 32204-3126 | 2017-11-27 |
| 1962913327 | Port Health Services | Community/Behavioral Health | 224 Memorial Dr Ste B, Jacksonville, NC 28546-6332 | 2017-10-12 |
| 1598282667 | B.e.h. Elderly Care LLC | Community/Behavioral Health | 5145 Timuquana Rd Apt 6, Jacksonville, FL 32210-8923 | 2017-08-29 |
| 1427598689 | Family Farms of Northeast Florida | Community/Behavioral Health | 16844 Ethel Rd, Jacksonville, FL 32218-1108 | 2017-03-06 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32254 |
Please comment or provide details below to improve the information on NORTHWEST BEHAVIORAL HEALTH SERVICES, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.