JOHN ELLISON COMMUNITY RECOVERY CENTER
NPI 1306478797
Counselor - Addiction (Substance Use Disorder) in Jacksonville, FL

Q: What is John Ellison Community Recovery Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Active since February 04, 2020

6320 SAINT AUGUSTINE RD STE 9A, JACKSONVILLE, FL 32217(904) 661-1985(904) 619-0984 Get Directions Write a Review

NPPES record last updated: February 4, 2020. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About John Ellison Community Recovery Center NPPES

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

JOHN ELLISON COMMUNITY RECOVERY CENTER (NPI 1306478797) is a healthcare organization registered as an addiction (substance use disorder) in Jacksonville, Florida and active in the NPI registry since February 2020. The organization lists Tekesha Ellison, Vp Of Operations, as its authorized official.

NPPES Registry Identity

NPI1306478797

Entity TypeOrganization

Primary Taxonomy101YA0400X

Legal Business NameJOHN ELLISON COMMUNITY RECOVERY CENTER

Location Address6320 SAINT AUGUSTINE RD STE 9AJacksonville, FL 32217-2813

Mailing Address6320 Saint Augustine Rd Ste 9aJacksonville, FL 32217-2813 · (904) 661-1985 · Fax (904) 619-0984

Phone(904) 661-1985

Fax(904) 619-0984

Organization SubpartNo

Authorized OfficialTekesha EllisonVp Of Operations · (904) 888-4634

Enumeration DateFebruary 4, 2020

✔ NPI 1306478797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

6320 SAINT AUGUSTINE RD STE 9A, Jacksonville, FL 32217

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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

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 John Ellison Community Recovery Center's NPI number?

The NPI number for John Ellison Community Recovery Center is 1306478797. It was assigned to this organization in the NPPES registry on February 4, 2020.

Where is John Ellison Community Recovery Center located?

John Ellison Community Recovery Center is located at 6320 Saint Augustine Rd Ste 9A, Jacksonville, FL 32217. The listed phone number is (904) 661-1985.

What is John Ellison Community Recovery Center's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for John Ellison Community Recovery Center was last updated on February 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.