FRESH START COUNSELING, PA
NPI 1174274658
Social Worker - Clinical in Jacksonville, FL

Q: What is Fresh Start Counseling, PA's NPI number?

The NPI number for Fresh Start Counseling, PA is 1174274658. It was assigned to this organization in the NPPES registry on January 16, 2022.

Q: What is Fresh Start Counseling, PA's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since January 16, 2022

12443 SAN JOSE BLVD STE 202, JACKSONVILLE, FL 32223(904) 428-8331(904) 320-0754 Get Directions Write a Review

NPPES record last updated: January 16, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Fresh Start Counseling, Pa NPPES

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

FRESH START COUNSELING, PA (NPI 1174274658) is a healthcare organization registered as a clinical in Jacksonville, Florida and active in the NPI registry since January 2022. The organization lists Christie Matlosz, Owner, as its authorized official.

NPPES Registry Identity

NPI1174274658

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameFRESH START COUNSELING, PA

Location Address12443 SAN JOSE BLVD STE 202Jacksonville, FL 32223-8648

Mailing Address12443 San Jose Blvd Ste 202Jacksonville, FL 32223-8648 · (904) 428-8331 · Fax (904) 320-0754

Phone(904) 428-8331

Fax(904) 320-0754

Organization SubpartNo

Authorized OfficialChristie MatloszOwner · (904) 428-8331

Enumeration DateJanuary 16, 2022

NPPES CertifiedJanuary 12, 2022

✔ NPI 1174274658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

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)