ONE HEALING PATHWAY LLC
NPI 1194617720
Counselor - Mental Health in Jacksonville, FL
About One Healing Pathway Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ONE HEALING PATHWAY LLC (NPI 1194617720) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since July 2025. The organization lists Bridgette Stacey Rodriguez, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
One Healing Pathway Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to One Healing Pathway LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 One Healing Pathway LLC's NPI number?
The NPI number for One Healing Pathway LLC is 1194617720. It was assigned to this organization in the NPPES registry on July 17, 2025.
Where is One Healing Pathway LLC located?
One Healing Pathway LLC is located at 1717 Blanding Blvd Ste 104, Jacksonville, FL 32210. The listed phone number is (904) 930-1972.
What is One Healing Pathway LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is One Healing Pathway LLC enrolled in Medicare?
Yes. One Healing Pathway LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through One Healing Pathway LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to One Healing Pathway LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for One Healing Pathway LLC was last updated on November 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# One Healing Pathway Llc · NPI 1194617720
Mental Health organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since July 17, 2025.
## Identity
- **NPI:** 1194617720 (Entity type: Organization)
- **Enumerated:** July 17, 2025
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Bridgette Rodriguez, CEO
## Practice location
- **Address:** 1717 BLANDING BLVD STE 104, Jacksonville, FL 32210-1945
- **Phone:** (904) 930-1972
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 7, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1194617720) · Data from the CMS NPPES public registry.