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WILDLY AUTHENTIC COUNSELING, LLC
NPI 1053086793
Counselor - Professional in Jacksonville, FL

Active since August 13, 2021
12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223(904) 337-9040 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2024, Nov 11, 2022, Aug 13, 2021 (3 updates tracked since 2021).

About Wildly Authentic Counseling, Llc NPPES

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

WILDLY AUTHENTIC COUNSELING, LLC (NPI 1053086793) is a healthcare organization registered as a professional in Jacksonville, Florida and active in the NPI registry since August 2021. The organization lists Amy Kristine Schaet, Owner, as its authorized official.

NPPES Registry Identity

NPI1053086793
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameWILDLY AUTHENTIC COUNSELING, LLC
Location Address12443 SAN JOSE BLVD STE 202Jacksonville, FL 32223-8648
Mailing Address630 Kingsley AveOrange Park, FL 32073-5465 · (904) 885-8278
Phone(904) 337-9040
Organization SubpartNo
Authorized OfficialAmy Kristine SchaetOwner · (904) 885-8278
Enumeration DateAugust 13, 2021
Last NPPES UpdateJune 25, 20243 updates tracked since enumeration
NPPES CertifiedJune 25, 2024
✔ NPI 1053086793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
12443 SAN JOSE BLVD STE 202, Jacksonville, FL 32223
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

DR. MARISA VICTORIA BYLES PSY.D.
Psychologist (Clinical)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (904) 515-3503
FRESH START COUNSELING, PA
Social Worker (Clinical)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (904) 428-8331
MRS. JOAN ELAINE THURSTON LMHC
Counselor (Mental Health)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (904) 208-0208
JOURNEY WITH COMPASSION COUNSELING
Counselor (Mental Health)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (904) 438-4399
CHRISTIE MATLOSZ LCSW
Social Worker (Clinical)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (904) 662-3153
KRISTIN RISPOLI COUNSELING
Counselor (Mental Health)
12443 SAN JOSE BLVD STE 202
JACKSONVILLE, FL 32223
Duval County (352) 255-4628

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 Wildly Authentic Counseling, LLC's NPI number?

The NPI number for Wildly Authentic Counseling, LLC is 1053086793. It was assigned to this organization in the NPPES registry on August 13, 2021.

Where is Wildly Authentic Counseling, LLC located?

Wildly Authentic Counseling, LLC is located at 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223. The listed phone number is (904) 337-9040.

What is Wildly Authentic Counseling, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Wildly Authentic Counseling, LLC was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.