JESSICA HOLESKO (MS, LMFT) – Marriage & Family Therapist, NPI 1447988472

JESSICA HOLESKO (MS, LMFT) is a healthcare provider. based in Ponte vedra beach, Florida. specializing in MARRIAGE AND FAMILY THERAPIST. They hold the professional credentials MS, LMFT. They hold a License No. MT4694 (FL). The NPI Number for JESSICA HOLESKO (MS, LMFT) is 1447988472

Main info

Female
Sole Proprietor
5 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA HOLESKO (MS, LMFT)
NPI
1447988472
Phone
(904) 514-9621
Address
29 Arbor Club Dr Unit 103
Enumeration Date
9 August 2022
Last Update Date
26 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9045696875
Graduation Year
2021 (5 years ago)
PAC ID
5496106015
Group Practice PAC ID
7618335159
Professional Enrollment ID
I20240109000320
Address ID
FL320824098PO1102XA1AX202
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

324 MARRIAGE AND FAMILY THERAPIST in FL

Provider Addresses for JESSICA HOLESKO (MS, LMFT)

  • 29 Arbor Club Dr Unit 103

    Ponte Vedra Beach, FL 320822606

    Phone: (904) 514-9621

    Type: Location

  • 29 ARBOR CLUB DR UNIT 103

    PONTE VEDRA BEACH, FL 320822606

    Phone: (904) 514-9621

    Type: Location

  • 1102 A1A N STE 203

    PONTE VEDRA, FL 320824098

    Phone: (904) 569-6875

    Fax: (904) 833-3373

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240109000320IMarriage And Family TherapistFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32082)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618335159View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

Reviews

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Frequently asked questions

Where can patients find JESSICA HOLESKO (MS, LMFT)'s NPI?
You can confirm JESSICA HOLESKO (MS, LMFT) with NPI 1447988472; it appears in the national provider directory.
Is JESSICA HOLESKO (MS, LMFT) active in the national directory?
JESSICA HOLESKO (MS, LMFT)'s public NPI profile is in an active state.
What field does JESSICA HOLESKO (MS, LMFT) work in?
You can think of JESSICA HOLESKO (MS, LMFT) as practicing within Marriage & Family Therapist. Clinical services aligned with this taxonomy classification.
Where is JESSICA HOLESKO (MS, LMFT)'s primary listing?
We display Ponte Vedra Beach, Florida because that is what the record indicates for JESSICA HOLESKO (MS, LMFT).
What if Ponte Vedra Beach, Florida seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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