Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACQUELINE LEIGH (PREFERRED) MATHIS REGISTERED INTERN
NPI 1194512293
Counselor - Mental Health in St Augustine, FL

Q: What is Jacqueline Mathis's NPI number?

The NPI number for Jacqueline Mathis is 1194512293. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Q: What is Jacqueline Mathis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Mathis was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.

Active since April 22, 2025

319 W TOWN PL STE 21, ST AUGUSTINE, FL 32092(904) 640-9099 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jacqueline Leigh (preferred) Mathis Registered Intern NPPES

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

JACQUELINE LEIGH (PREFERRED) MATHIS REGISTERED INTERN (NPI 1194512293) is an individual mental health provider in St Augustine, Florida, licensed in Florida (MH27996) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1194512293

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJACQUELINE LEIGH (PREFERRED) MATHISCredential: REGISTERED INTERN

Location Address319 W TOWN PL STE 21St Augustine, FL 32092-3103

Mailing Address2872 N 1st StSt Augustine, FL 32084-1942 · (561) 676-2529

Phone(904) 640-9099

Sole ProprietorNo

Enumeration DateApril 22, 2025

Last NPPES UpdateJuly 1, 2026

NPPES CertifiedJuly 1, 2026

✔ NPI 1194512293 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 · MH27996

319 W TOWN PL STE 21, St Augustine, FL 32092

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Other Providers at the Same Location NPPES 3

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

MRS. SARAH SMITH WHITE M.S.

Counselor (Mental Health)

319 W TOWN PL STE 21
SAINT AUGUSTINE, FL 32092

St. Johns County (386) 320-6087

MRS. ELIZABETH FLOSTRAND

Counselor (Mental Health)

319 W TOWN PL STE 21
SAINT AUGUSTINE, FL 32092

St. Johns County (904) 513-8606

STEVEN R. FREEMAN DDS PL

Dentist

319 W TOWN PL STE 21
ST AUGUSTINE, FL 32092

St. Johns County (904) 940-3933

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 Jacqueline Mathis's NPI number?

The NPI number for Jacqueline Mathis is 1194512293. It was assigned to this individual provider in the NPPES registry on April 22, 2025.

Where is Jacqueline Mathis located?

Jacqueline Mathis practices at 319 W Town Pl Ste 21, St Augustine, FL 32092. The listed phone number is (904) 640-9099.

What is Jacqueline Mathis's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacqueline Mathis was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 43 days 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.