PROF. ADDRIS BLANCHE VINSON LMHC, CRC
NPI 1285766840
Counselor - Mental Health in Jacksonville, FL

Active since March 09, 2007
1734 HIRAM ST, JACKSONVILLE, FL 32209(904) 536-4371(904) 379-1760 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prof. Addris Blanche Vinson Lmhc, Crc NPPES

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

PROF. ADDRIS BLANCHE VINSON LMHC, CRC (NPI 1285766840) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH 9044) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1285766840
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePROF. ADDRIS BLANCHE VINSONCredential: LMHC, CRC
Location Address1734 HIRAM STJacksonville, FL 32209-6105
Mailing Address1734 Hiram StJacksonville, FL 32209-6105 · (904) 536-4371 · Fax (904) 379-1760
Fax(904) 379-1760
Sole ProprietorNo
Enumeration DateMarch 9, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1285766840 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 · MH 9044
1734 HIRAM ST, Jacksonville, FL 32209

Other Names 1

Professional Name (2)Prof. Koinonia Dynamis Inc.

Other Identifiers 1

Medicaid689713496FL

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.

Case Management
1734 HIRAM ST
JACKSONVILLE, FL 32209
Case Management
1734 HIRAM ST
JACKSONVILLE, FL 32209
Counselor (Mental Health)
1734 HIRAM ST
JACKSONVILLE, FL 32209

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 Addris Vinson's NPI number?

The NPI number for Addris Vinson is 1285766840. It was assigned to this individual provider in the NPPES registry on March 9, 2007. The provider is also known as Prof. Koinonia Dynamis Inc..

Where is Addris Vinson located?

Addris Vinson practices at 1734 Hiram St, Jacksonville, FL 32209. The listed phone number is (904) 536-4371.

What is Addris Vinson'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 Addris Vinson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.