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GOOLSBYS CLINICAL SERVICES, LLC
NPI 1174027130
Counselor - Mental Health in Jacksonville, FL

Active since March 22, 2018
2720 PARK ST STE 202, JACKSONVILLE, FL 32205(904) 338-2998(844) 250-8734 Get Directions Write a Review

NPPES record last updated: March 22, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Goolsbys Clinical Services, Llc NPPES

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

GOOLSBYS CLINICAL SERVICES, LLC (NPI 1174027130) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since March 2018. The organization lists Kevin Goolsby, Owner, as its authorized official.

NPPES Registry Identity

NPI1174027130
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGOOLSBYS CLINICAL SERVICES, LLC
Location Address2720 PARK ST STE 202Jacksonville, FL 32205-7645
Mailing Address9233 Redtail DrJacksonville, FL 32222-2811 · (904) 338-2998 · Fax (844) 250-8734
Phone(904) 338-2998
Fax(844) 250-8734
Organization SubpartNo
Authorized OfficialKevin GoolsbyOwner · (904) 338-2998
Enumeration DateMarch 22, 2018
✔ NPI 1174027130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH12309
2720 PARK ST STE 202, Jacksonville, FL 32205
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Other Identifiers 1

Medicaid768184400FL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

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 Goolsbys Clinical Services, LLC's NPI number?

The NPI number for Goolsbys Clinical Services, LLC is 1174027130. It was assigned to this organization in the NPPES registry on March 22, 2018.

Where is Goolsbys Clinical Services, LLC located?

Goolsbys Clinical Services, LLC is located at 2720 Park St Ste 202, Jacksonville, FL 32205. The listed phone number is (904) 338-2998.

What is Goolsbys Clinical Services, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Goolsbys Clinical Services, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Goolsbys Clinical Services, LLC 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 Goolsbys Clinical Services, LLC was last updated on March 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.