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EMDR TRAUMA THERAPY CENTER LLC
NPI 1407474943
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fleming Island, FL

Active since July 10, 2020
4609 US HIGHWAY 17 STE 1, FLEMING ISLAND, FL 32003(904) 375-2353(904) 375-2349 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 26, 2026, Jul 10, 2020 (2 updates tracked since 2020).

About Emdr Trauma Therapy Center Llc NPPES

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

EMDR TRAUMA THERAPY CENTER LLC (NPI 1407474943) is a healthcare organization registered as a mental health (including community mental health center) in Fleming Island, Florida and active in the NPI registry since July 2020. The organization lists Jeannie L Mitchell, Principle/owner, as its authorized official.

NPPES Registry Identity

NPI1407474943
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameEMDR TRAUMA THERAPY CENTER LLC
Location Address4609 US HIGHWAY 17 STE 1Fleming Island, FL 32003-4818
Mailing Address4609 Us Highway 17 Ste 1Fleming Island, FL 32003-4818 · (904) 375-2353 · Fax (904) 375-2349
Phone(904) 375-2353
Fax(904) 375-2349
Organization SubpartNo
Authorized OfficialJeannie L MitchellPrinciple/owner · (904) 375-2353
Enumeration DateJuly 10, 2020
Last NPPES UpdateJanuary 26, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1407474943 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
Also ListedClinic/Center · Adolescent and Children Mental HealthTaxonomy 261QM0855X
4609 US HIGHWAY 17 STE 1, Fleming Island, FL 32003
Open in Google Maps ↗

Other Identifiers 1

Other1114348661Npi

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Emdr Trauma Therapy Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Emdr Trauma Therapy Center LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (5)

Jeannie Mitchell, LMHC
Mental Health Counselor
NPI 1114348661
4609 US HIGHWAY 17 STE 1
Fleming Island, FL 32003
(904) 375-2353
✔ PECOS✔ Accepts MedicareSame address
Dorothea Jattan, PMHNP
Nurse Practitioner
NPI 1013753839
4510 WATER OAK LN
Jacksonville, FL 32210
(305) 978-4309
✔ PECOS✔ Accepts Medicare10 mi
Cokey Powell, PHD
Mental Health Counselor
NPI 1194050997
3100 UNIVERSITY BLVD S STE 119
Jacksonville, FL 32216
(904) 337-9950
✔ PECOS✔ Accepts Medicare14 mi
Rieko Higuchi, LMHC, CAP, CST
Mental Health Counselor
NPI 1568418598
655 W 8TH ST UF HEALTH, CLINICAL CENTER, 3RD FLOOR
Jacksonville, FL 32209
(904) 244-2120
✔ PECOS✔ Accepts Medicare16 mi
Susan Thyng
Mental Health Counselor
NPI 1437752078
301 E MEETING ST
Morganton, NC 28655
(828) 437-3000
✔ PECOS✔ Accepts Medicare388 mi

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 Emdr Trauma Therapy Center LLC's NPI number?

The NPI number for Emdr Trauma Therapy Center LLC is 1407474943. It was assigned to this organization in the NPPES registry on July 10, 2020.

Where is Emdr Trauma Therapy Center LLC located?

Emdr Trauma Therapy Center LLC is located at 4609 Us Highway 17 Ste 1, Fleming Island, FL 32003. The listed phone number is (904) 375-2353.

What is Emdr Trauma Therapy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Emdr Trauma Therapy Center LLC enrolled in Medicare?

Yes. Emdr Trauma Therapy Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emdr Trauma Therapy Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Emdr Trauma Therapy Center LLC. 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. The largest specialties are Mental Health Counselor (4) and Nurse Practitioner (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Emdr Trauma Therapy Center LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Emdr Trauma Therapy Center 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 Emdr Trauma Therapy Center LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.