BAPTIST BEHAVIORAL HEALTH, LLC – Professional Counselor, NPI 1215906649
Professional Counselor
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for BAPTIST BEHAVIORAL HEALTH, LLC
PO BOX 44230
JACKSONVILLE, FL 322314230
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
836 Prudential Dr Ste 1006
Jacksonville, FL 322078337
Phone: (904) 376-3800
Type: Location
1747 Baptist Clay Dr Ste 350
Fleming Island, FL 320038504
Phone: (904) 376-3800
Fax: (904) 396-8977
Type: Location
1650 Prudential Dr Ste 102
Jacksonville, FL 322078148
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Location
851042 US Highway 17 Ste B
Yulee, FL 320972845
Phone: (904) 376-3800
Type: Location
98 Nocatee Village Dr
Ponte Vedra Beach, FL 320816152
Phone: (904) 376-3800
Type: Location
800 Prudential Dr
Jacksonville, FL 322078202
Phone: (904) 376-3800
Type: Location
4844 Deer Lake Dr W Ste 101
Jacksonville, FL 322464406
Phone: (904) 376-3800
Fax: (904) 390-7431
Type: Location
13241 Bartram Park Blvd Unit 1901
Jacksonville, FL 322585228
Phone: (904) 376-3800
Fax: (904) 396-8967
Type: Location
1650 Prudential Dr Ste 210
Jacksonville, FL 322078149
Phone: (904) 376-3800
Fax: (904) 396-4942
Type: Location
929 Peninsular Pl
Jacksonville, FL 322042828
Phone: (904) 376-3800
Type: Location
836 Prudential Dr Ste 1507
Jacksonville, FL 322078342
Phone: (904) 376-3800
Type: Location
841 Prudential Dr Fl 10
Jacksonville, FL 322078329
Phone: (904) 376-3800
Fax: (904) 396-8975
Type: Location
836 Prudential Dr Ste 1506
Jacksonville, FL 322078342
Phone: (904) 376-3800
Type: Location
820 Prudential Dr Ste 512
Jacksonville, FL 322078207
Phone: (904) 376-3800
Type: Location
221 Riverside Ave
Jacksonville, FL 322024907
Phone: (904) 376-3800
Type: Location
1545 S 14th St
Fernandina Beach, FL 320343049
Phone: (904) 376-3800
Fax: (904) 390-7392
Type: Location
900 Beach Blvd Ste 930
Jacksonville Beach, FL 322504368
Phone: (904) 376-3800
Fax: (904) 396-8968
Type: Location
1660 Prudential Dr Ste 410
Jacksonville, FL 322078197
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Location
30 Ardisia Ln
Jacksonville, FL 322593881
Phone: (904) 376-3800
Fax: (904) 390-7458
Type: Location
1361 13th Ave S Ste 270
Jacksonville Beach, FL 322503258
Phone: (904) 376-3800
Fax: (904) 390-7398
Type: Location
1325 San Marco Blvd Ste 300
Jacksonville, FL 322078567
Phone: (904) 376-3800
Fax: (904) 390-7392
Type: Location
820 Prudential Dr Ste 510
Jacksonville, FL 322078207
Phone: (904) 376-3800
Fax: (904) 202-2436
Type: Location
14540 Old Saint Augustine Rd Ste 2591
Jacksonville, FL 322587420
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Location
302 3rd St Ste 3
Neptune Beach, FL 322665139
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Location
400 Colonnade Dr Ste 230
Ponte Vedra Beach, FL 320816237
Phone: (904) 376-3800
Type: Location
1301 Palm Ave Ste 4A017
Jacksonville, FL 322078457
Phone: (904) 376-3800
Fax: (904) 396-8978
Type: Location
PO BOX 748519
ATLANTA, GA 303748519
Phone: (904) 376-3800
Fax: (904) 376-3998
Type: Mailing
841 PRUDENTIAL DR STE 1350
JACKSONVILLE, FL 322079847
Phone: (904) 376-3800
Fax: (904) 391-0167
Type: Location
Prudential Drive, South Jacksonville, Jacksonville, Duval County, Florida, 32202, United States
JACKSONVILLE, FL 322078329
Phone: (904) 376-3800
Fax: (904) 396-8975
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: 2014-09-24
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20140924001767 | O | Clinic/Group Practice | FL | TBD |
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.
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 32231)
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