TRACEY KAVANAGH LMHC
NPI 1184641052
Counselor in Jacksonville, FL

Active since July 16, 2006
1000 RIVERSIDE AVE STE 312, JACKSONVILLE, FL 32204(904) 318-2258(904) 808-1472 Get Directions Write a Review

NPPES record last updated: December 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tracey Kavanagh Lmhc NPPES

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

TRACEY KAVANAGH LMHC (NPI 1184641052) is an individual counselor in Jacksonville, Florida, licensed in Florida (MH4678) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1184641052
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameTRACEY KAVANAGHCredential: LMHC
Location Address1000 RIVERSIDE AVE STE 312Jacksonville, FL 32204-4174
Mailing Address196 Appian AveSaint Augustine, FL 32092-0040 · (904) 318-2258
Fax(904) 808-1472
Sole ProprietorYes
Enumeration DateJuly 16, 2006
Last NPPES UpdateDecember 5, 2023
NPPES CertifiedDecember 5, 2023
NPI 1184641052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in FL · MH4678
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
1000 RIVERSIDE AVE STE 312, Jacksonville, FL 32204

Accepted Insurance

Other Providers at the Same Location NPPES

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

Counselor (Mental Health)
1000 RIVERSIDE AVE STE 312
JACKSONVILLE, FL 32204

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 Tracey Kavanagh's NPI number?

The NPI number for Tracey Kavanagh is 1184641052. It was assigned to this individual provider in the NPPES registry on July 16, 2006.

Where is Tracey Kavanagh located?

Tracey Kavanagh practices at 1000 Riverside Ave Ste 312, Jacksonville, FL 32204. The listed phone number is (904) 318-2258.

What is Tracey Kavanagh's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

What insurance does Tracey Kavanagh accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Tracey Kavanagh 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 Tracey Kavanagh was last updated on December 5, 2023. 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.