AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC
NPI 1407400591
Counselor - Mental Health in Jacksonville, FL

Active since July 28, 2019
7235 BENTLEY RD STE 308, JACKSONVILLE, FL 32256(904) 990-7117 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2025, Jul 11, 2022, Nov 8, 2021 and 1 more (4 updates tracked since 2019).

About Authentic Self Counseling Of Jacksonville, Llc NPPES

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

AUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC (NPI 1407400591) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since July 2019. The organization lists Michelle Anderson, Owner, as its authorized official.

NPPES Registry Identity

NPI1407400591
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameAUTHENTIC SELF COUNSELING OF JACKSONVILLE, LLC
Location Address7235 BENTLEY RD STE 308Jacksonville, FL 32256-7506
Mailing Address3733 University Blvd W Ste 203Jacksonville, FL 32217-2152 · (904) 990-7117
Organization SubpartNo
Authorized OfficialMichelle AndersonOwner · (904) 990-7117
Enumeration DateJuly 28, 2019
Last NPPES UpdateAugust 8, 20254 updates tracked since enumeration
NPPES CertifiedAugust 8, 2025
NPI 1407400591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
7235 BENTLEY RD STE 308, Jacksonville, FL 32256

Other Identifiers 1

Medicaid1117302000FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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 Authentic Self Counseling Of Jacksonville, LLC's NPI number?

The NPI number for Authentic Self Counseling Of Jacksonville, LLC is 1407400591. It was assigned to this organization in the NPPES registry on July 28, 2019.

Where is Authentic Self Counseling Of Jacksonville, LLC located?

Authentic Self Counseling Of Jacksonville, LLC is located at 7235 Bentley Rd Ste 308, Jacksonville, FL 32256. The listed phone number is (904) 990-7117.

What is Authentic Self Counseling Of Jacksonville, LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Authentic Self Counseling Of Jacksonville, LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Authentic Self Counseling Of Jacksonville, 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 Authentic Self Counseling Of Jacksonville, LLC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.