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COUNSELING ASSOCIATES CLINIC
NPI 1174761118
Social Worker - Clinical in St Augustine, FL

Active since January 29, 2009
890 A1A BEACH BLVD, UNIT #5, ST AUGUSTINE, FL 32080(904) 471-5623(904) 471-7545 Get Directions Write a Review

NPPES record last updated: April 15, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Counseling Associates Clinic NPPES

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

COUNSELING ASSOCIATES CLINIC (NPI 1174761118) is a healthcare organization registered as a clinical in St Augustine, Florida and active in the NPI registry since January 2009. The organization lists Timmothy Nelson Tillotson, Owner, as its authorized official.

NPPES Registry Identity

NPI1174761118
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameCOUNSELING ASSOCIATES CLINIC
Location Address890 A1A BEACH BLVD, UNIT #5St Augustine, FL 32080-6776
Mailing Address890 A1a Beach Blvd, Unit #5St Augustine, FL 32080-6776 · (904) 471-5623 · Fax (904) 471-7545
Phone(904) 471-5623
Fax(904) 471-7545
Organization SubpartNo
Authorized OfficialTimmothy Nelson TillotsonOwner · (904) 471-5623
Enumeration DateJanuary 29, 2009
Last NPPES UpdateApril 15, 2009
✔ NPI 1174761118 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.
890 A1A BEACH BLVD, St Augustine, FL 32080
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Other Identifiers 1

Medicare PINK9297FL

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

Other Providers at the Same Location NPPES

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

JANE A HARTMAN
Social Worker (Clinical)
890 A1A BEACH BLVD, SUITE 3
SAINT AUGUSTINE, FL 32080
St. Johns County (319) 269-3824

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 Counseling Associates Clinic's NPI number?

The NPI number for Counseling Associates Clinic is 1174761118. It was assigned to this organization in the NPPES registry on January 29, 2009.

Where is Counseling Associates Clinic located?

Counseling Associates Clinic is located at 890 A1a Beach Blvd Unit #5, St Augustine, FL 32080. The listed phone number is (904) 471-5623.

What is Counseling Associates Clinic's specialty?

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

When was this NPI record last updated?

The NPPES record for Counseling Associates Clinic was last updated on April 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.