Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PHILIP DAVID JUSTICE
NPI 1023611621
Marriage & Family Therapist in Saint Johns, FL

Active since November 17, 2020PECOS EnrolledAccepts Medicare Assignment
30 ARDISIA LN, SAINT JOHNS, FL 32259(904) 376-3800 Get Directions Write a Review

NPPES record last updated: September 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 29, 2026, Nov 17, 2022, Nov 17, 2020 (3 updates tracked since 2020).

About Philip David Justice NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHILIP DAVID JUSTICE (NPI 1023611621) is an individual marriage & family therapist in Saint Johns, Florida, licensed in Florida (MT4409) and active in the NPI registry since November 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1023611621
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NamePHILIP DAVID JUSTICE
Location Address30 ARDISIA LNSaint Johns, FL 32259-3881
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 17, 2020
Last NPPES UpdateSeptember 29, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2026
✔ NPI 1023611621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · MT4409
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
30 ARDISIA LN, Saint Johns, FL 32259

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Philip David Justice is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3870035165
PECOS Enrollment IDI20240531003831
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Philip Justice reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Professional
841 PRUDENTIAL DR STE 1350
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 176 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
19 services19 patients

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Psychologist (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Nurse Practitioner (Psychiatric/Mental Health)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Counselor (Mental Health)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Family Medicine
30 ARDISIA LN
ST JOHNS, FL 32259
Social Worker (Clinical)
30 ARDISIA LN
SAINT JOHNS, FL 32259
Physician Assistant
30 ARDISIA LN
ST JOHNS, FL 32259

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Philip Justice's NPI number?

The NPI number for Philip Justice is 1023611621. It was assigned to this individual provider in the NPPES registry on November 17, 2020.

Where is Philip Justice located?

Philip Justice practices at 30 Ardisia Ln, Saint Johns, FL 32259. The listed phone number is (904) 376-3800.

What is Philip Justice's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Philip Justice enrolled in Medicare?

Yes. Philip Justice is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Philip Justice's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Philip Justice reassigns Medicare benefits to Baptist Behavioral Health, LLC (Jacksonville, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Philip Justice's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Philip Justice accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Philip Justice as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Philip Justice was last updated on September 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.