HAVENRISE ACADEMY OF JACKSONVILLE, LLC
NPI 1134014384
Clinic/Center - Adolescent and Children Mental Health in Jacksonville, FL

NPI Status: Active since June 10, 2025

Contact Information

10550 DEERWOOD PARK BLVD STE 301
JACKSONVILLE, FL
ZIP 32256
Phone: (904) 352-0682

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  • Organization
  • Clinic/Center
  • Adolescent and Children Mental Health

About HAVENRISE ACADEMY OF JACKSONVILLE, LLC

This page provides the complete NPI Profile along with additional information for Havenrise Academy Of Jacksonville, Llc, a provider established in Jacksonville, Florida operating as a Clinic/center, focusing in adolescent and children mental health . The healthcare provider is registered in the NPI registry with number 1134014384 assigned on June 2025. The practitioner's primary taxonomy code is 261QM0855X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Mrs. Jamie Stevens (Ceo)

NPI
1134014384
Provider Name
HAVENRISE ACADEMY OF JACKSONVILLE, LLC
Entity Type
Organization
Location Address
10550 DEERWOOD PARK BLVD STE 301 JACKSONVILLE, FL 32256
Location Phone
(904) 352-0682
Mailing Address
10550 DEERWOOD PARK BLVD STE 301 JACKSONVILLE, FL 32256
Mailing Phone
(904) 352-0682
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
06-10-2025
Last Update Date
06-10-2025
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adolescent and Children Mental Health

Taxonomy Code
261QM0855X
Type
Ambulatory Health Care Facilities
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. JAMIE STEVENS

Authorized Official Title
CEO
Authorized Official Phone
(904) 993-1559

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134014384, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
4
Doubled → 8
Pos 8
3
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 0 → 0 4 → 8 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 0 + 1 + 8 + 3 + 1 + 6 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1134014384.

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Clinic/Center (Adolescent and Children Mental Health)
10550 DEERWOOD PARK BLVD STE 301
JACKSONVILLE, FL 32256

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134014384, enumerated as an "organization" on June 10, 2025.

The provider is located at 10550 DEERWOOD PARK BLVD STE 301 JACKSONVILLE, FL 32256 and the phone number is (904) 352-0682.

Clinic/Center with taxonomy code 261QM0855X and a focus in Adolescent and Children Mental Health.