CASEY CENTER FOR COMMUNITY COUNSELING
NPI 1275377236
Marriage & Family Therapist in Jacksonville, FL
About Casey Center For Community Counseling NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CASEY CENTER FOR COMMUNITY COUNSELING (NPI 1275377236) is a healthcare organization registered as a marriage & family therapist in Jacksonville, Florida and active in the NPI registry since June 2024. The organization lists David R Jedrziewski, Coo, 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)
Casey Center For Community Counseling 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 Casey Center For Community Counseling, which bills Medicare for the services this clinician delivers.
Clinician (1)
Jacksonville, FL 32217
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 Casey Center For Community Counseling's NPI number?
The NPI number for Casey Center For Community Counseling is 1275377236. It was assigned to this organization in the NPPES registry on June 24, 2024.
Where is Casey Center For Community Counseling located?
Casey Center For Community Counseling is located at 6282 Dupont Station Ct E Ste 2, Jacksonville, FL 32217. The listed phone number is (904) 614-4190.
What is Casey Center For Community Counseling's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Casey Center For Community Counseling enrolled in Medicare?
Yes. Casey Center For Community Counseling is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Casey Center For Community Counseling?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Casey Center For Community Counseling. 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 Casey Center For Community Counseling was last updated on June 24, 2024. 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.
# Casey Center For Community Counseling · NPI 1275377236
Marriage & Family Therapist organization in Jacksonville, Florida. Organization record, active in the CMS NPPES registry since June 24, 2024.
## Identity
- **NPI:** 1275377236 (Entity type: Organization)
- **Enumerated:** June 24, 2024
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **Organization subpart:** No
- **Authorized official:** David Jedrziewski, COO
## Practice location
- **Address:** 6282 DUPONT STATION CT E STE 2, Jacksonville, FL 32217-2515
- **Phone:** (904) 614-4190
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Marriage and Family Therapist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1275377236) · Data from the CMS NPPES public registry.