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BAPTIST BEHAVIORAL HEALTH, LLC
NPI 1215906649
Counselor - Professional in Jacksonville, FL

Active since March 17, 2006CLIA 10D2308303 · Waiver
841 PRUDENTIAL DR STE 1350, JACKSONVILLE, FL 32207(904) 376-3800(904) 391-0167 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2026, Dec 22, 2025, Nov 21, 2025 and 20 more (23 updates tracked since 2017).

About Baptist Behavioral Health, Llc NPPES

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

BAPTIST BEHAVIORAL HEALTH, LLC (NPI 1215906649) is a healthcare organization registered as a professional in Jacksonville, Florida and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through July 24, 2028, maintains 24 additional practice locations, and lists Kendra Wagner, Administrator, as its authorized official.

NPPES Registry Identity

NPI1215906649
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameBAPTIST BEHAVIORAL HEALTH, LLC
Location Address841 PRUDENTIAL DR STE 1350Jacksonville, FL 32207-9847
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 391-0167
Organization SubpartYesParent: Southern Baptist Hospital Of Florida, Inc
Authorized OfficialKendra WagnerAdministrator · (904) 376-3800
Enumeration DateMarch 17, 2006
Last NPPES UpdateJune 29, 202623 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1215906649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
841 PRUDENTIAL DR STE 1350, Jacksonville, FL 32207
Open in Google Maps ↗

Secondary Practice Locations 24

Location 1800 Prudential DrJacksonville, FL 32207-8202 · Phone (904) 376-3800
Location 2820 Prudential Dr Ste 512Jacksonville, FL 32207-8207 · Phone (904) 376-3800
Location 3221 Riverside AveJacksonville, FL 32202-4907 · Phone (904) 376-3800
Location 4400 Colonnade Dr Ste 230Ponte Vedra, FL 32081-6237 · Phone (904) 376-3800
Location 514540 Old Saint Augustine Rd Ste 2591Jacksonville, FL 32258-7420 · Phone (904) 376-3800 · Fax (904) 376-3998
Location 630 Ardisia LnJacksonville, FL 32259-3881 · Phone (904) 376-3800 · Fax (904) 390-7458
Location 71660 Prudential Dr Ste 410Jacksonville, FL 32207-8197 · Phone (904) 376-3800 · Fax (904) 376-3998
Location 81545 S 14th StFernandina Beach, FL 32034-3049 · Phone (904) 376-3800 · Fax (904) 390-7392
Location 94844 Deer Lake Dr W Ste 101Jacksonville, FL 32246-4406 · Phone (904) 376-3800 · Fax (904) 390-7431
Location 10851042 US Highway 17 Ste BYulee, FL 32097-2845 · Phone (904) 376-3800
Location 111650 Prudential Dr Ste 102Jacksonville, FL 32207-8148 · Phone (904) 376-3800 · Fax (904) 376-3998
Location 12836 Prudential Dr Ste 1006Jacksonville, FL 32207-8337 · Phone (904) 376-3800
Location 13836 Prudential Dr Ste 1506Jacksonville, FL 32207-8342 · Phone (904) 376-3800
Location 1498 Nocatee Village DrPonte Vedra, FL 32081-6152 · Phone (904) 376-3800
Location 15841 Prudential Dr Fl 10Jacksonville, FL 32207-8329 · Phone (904) 376-3800 · Fax (904) 396-8975
Location 161747 Baptist Clay Dr Ste 350Fleming Island, FL 32003-8504 · Phone (904) 376-3800 · Fax (904) 396-8977
Location 171650 Prudential Dr Ste 210Jacksonville, FL 32207-8149 · Phone (904) 376-3800 · Fax (904) 396-4942
Location 18836 Prudential Dr Ste 1507Jacksonville, FL 32207-8342 · Phone (904) 376-3800
Location 19929 Peninsular PlJacksonville, FL 32204-2828 · Phone (904) 376-3800
Location 2013241 Bartram Park Blvd Unit 1901Jacksonville, FL 32258-5228 · Phone (904) 376-3800 · Fax (904) 396-8967
Location 211325 San Marco Blvd Ste 300Jacksonville, FL 32207-8567 · Phone (904) 376-3800 · Fax (904) 390-7392
Location 221301 Palm Ave Ste 4A017Jacksonville, FL 32207-8457 · Phone (904) 376-3800 · Fax (904) 396-8978
Location 23820 Prudential Dr Ste 510Jacksonville, FL 32207-8207 · Phone (904) 376-3800 · Fax (904) 202-2436
Location 241361 13th Ave S Ste 270Jacksonville Beach, FL 32250-3258 · Phone (904) 376-3800 · Fax (904) 390-7398

Other Identifiers 3

Other8205120FL · Aetna
Medicaid015645200FL
Other007AMFL · Bcbs Of Florida

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Baptist Behavioral Health, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

176

Medicare enrollment records show 176 clinicians reassign Medicare billing to Baptist Behavioral Health, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 113 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 8

Mental Health Counselor42
Nurse Practitioner39
Clinical Psychologist38
Psychiatry27
Clinical Social Worker26
Marriage and Family Therapist2
Addiction Medicine1
Geriatric Psychiatry1

Nearest to this location (20)

See all 176
Anna-Leigh Robison, PSYD
Clinical Psychologist
NPI 1316612641
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts MedicareSame address
Emily Durik, LMHC
Mental Health Counselor
NPI 1679821326
820 PRUDENTIAL DR SUITE 510
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Sia Ngauja, LMHC
Mental Health Counselor
NPI 1528648672
820 PRUDENTIAL DR STE 510
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS0.1 mi
Saneha Goyal, PSY.D.
Clinical Psychologist
NPI 1770740136
836 PRUDENTIAL DR STE 1006
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Joseph Sesta, PH.D., M.P.
Clinical Psychologist
NPI 1568513992
836 PRUDENTIAL DR STE 1506
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Deborah Anthony, LMHC
Mental Health Counselor
NPI 1790018919
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Christine Crews, ARNP
Nurse Practitioner
NPI 1053807750
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS0.1 mi
Nathaniel Grassi, MS
Mental Health Counselor
NPI 1881371615
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS0.1 mi
Dzenefa Ramic, ARNP
Nurse Practitioner
NPI 1811462237
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS0.1 mi
Ryan Rish
Clinical Social Worker
NPI 1417721457
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Deidra Davis, LCSW
Clinical Social Worker
NPI 1821867425
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Amanda Glynn, DNP, APRN, PMHNP-BC
Nurse Practitioner
NPI 1982301784
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Adeline Leon
Clinical Psychologist
NPI 1477103539
836 PRUDENTIAL DR STE 1506
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Hidi Moody, APRN
Nurse Practitioner
NPI 1194482489
836 PRUDENTIAL DR STE 1507
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Tracy Edwards, LCSW
Clinical Social Worker
NPI 1295064129
836 PRUDENTIAL DR STE 1006
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Amanda Glunz
Marriage and Family Therapist
NPI 1740735695
820 PRUDENTIAL DR STE 512
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Donald Pollock, MD.
Psychiatry
NPI 1114947074
820 PRUDENTIAL DR STE 510
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS0.1 mi
Raymond Pomm, MD
Psychiatry
NPI 1659541654
820 PRUDENTIAL DR STE 510
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Paul Chakkaphak, DO
Psychiatry
NPI 1184365314
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
Rachael Sanchez, D.O.
Addiction Medicine
NPI 1790915064
800 PRUDENTIAL DR
Jacksonville, FL 32207
(904) 376-3800
✔ PECOS✔ Accepts Medicare0.1 mi
See all 176 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2308303

Baptist Behavioral Health, LLC · Jacksonville, FL
Active · expires Jul 24, 2028
CLIA Number10D2308303
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2026
Certificate Expiration DateJuly 24, 2028
Laboratory DirectorMarsell A. Brown
Laboratory Phone(904) 390-7401
Laboratory LocationBaptist Behavioral Health, LLC1660 Prudential Dr Suite 410, Southbank Plaza II,, Jacksonville, FL 32207
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Baptist Behavioral Health, LLC's NPI number?

The NPI number for Baptist Behavioral Health, LLC is 1215906649. It was assigned to this organization in the NPPES registry on March 17, 2006.

Where is Baptist Behavioral Health, LLC located?

Baptist Behavioral Health, LLC is located at 841 Prudential Dr Ste 1350, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Baptist Behavioral Health, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Baptist Behavioral Health, LLC enrolled in Medicare?

Yes. Baptist Behavioral Health, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Baptist Behavioral Health, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 176 clinicians in 8 Medicare specialties reassign their Medicare billing to Baptist Behavioral Health, 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. The largest specialties are Mental Health Counselor (42), Nurse Practitioner (39) and Clinical Psychologist (38). Of these, 1 practice at this address and 113 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Baptist Behavioral Health, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2308303) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Baptist Behavioral Health, LLC accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Baptist Behavioral Health, LLC 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 Baptist Behavioral Health, LLC was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.