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MR. JUSTIN TYLER BOLLINGMO LMFT
NPI 1326436981
Marriage & Family Therapist in Jacksonville, FL

Active since January 06, 2015
1650 PRUDENTIAL DR STE 210, JACKSONVILLE, FL 32207(904) 376-3800(904) 396-4942 Get Directions Write a Review

NPPES record last updated: May 13, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2022, Jan 7, 2022, Mar 18, 2019 and 3 more (6 updates tracked since 2017).

About Mr. Justin Tyler Bollingmo Lmft NPPES

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

MR. JUSTIN TYLER BOLLINGMO LMFT (NPI 1326436981) is an individual marriage & family therapist in Jacksonville, Florida, licensed in Florida (3292) and active in the NPI registry since January 2015. He maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1326436981
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameMR. JUSTIN TYLER BOLLINGMOCredential: LMFT
Location Address1650 PRUDENTIAL DR STE 210Jacksonville, FL 32207-8149
Mailing AddressPo Box 748519Atlanta, GA 30374-8519 · (904) 376-3800 · Fax (904) 376-3998
Phone(904) 376-3800
Fax(904) 396-4942
Sole ProprietorYes
Enumeration DateJanuary 6, 2015
Last NPPES UpdateMay 13, 20226 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
✔ NPI 1326436981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · 3292
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1650 PRUDENTIAL DR STE 210, Jacksonville, FL 32207
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Secondary Practice Location 1

Location 1929 Peninsular PlJacksonville, FL 32204-2828 · Phone (904) 376-3800

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. AYLIN SANER EMMERT M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
KAREN C SANDBACH PH.D.
Clinical Neuropsychologist
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
BAPTIST BEHAVIORAL HEALTH, LLC
Psychologist
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
BROOKE BIEN-COATNEY LCSW
Social Worker (Clinical)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
MRS. VICKI VAUGHN VANGUNDY LMHC
Counselor (Mental Health)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3755
EMMA AMBLER LMHC
Counselor (Mental Health)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
JUSTINE DANIELLE PIGOTT LCSW
Social Worker (Clinical)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800
LAURA TRAUB WEIL LCSW
Social Worker (Clinical)
1650 PRUDENTIAL DR STE 210
JACKSONVILLE, FL 32207
Duval County (904) 376-3800

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 Justin Bollingmo's NPI number?

The NPI number for Justin Bollingmo is 1326436981. It was assigned to this individual provider in the NPPES registry on January 6, 2015.

Where is Justin Bollingmo located?

Justin Bollingmo practices at 1650 Prudential Dr Ste 210, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Justin Bollingmo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Justin Bollingmo was last updated on May 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.