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DAVID ROBERT JEDRZIEWSKI LMHC, LMFT
NPI 1538733779
Marriage & Family Therapist in Jacksonville, FL

Active since May 13, 2021PECOS EnrolledAccepts Medicare Assignment
6282 DUPONT STATION CT E STE 2, JACKSONVILLE, FL 32217(904) 614-4190 Get Directions Write a Review

NPPES record last updated: June 24, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 24, 2024, Nov 19, 2021, May 13, 2021 (3 updates tracked since 2021).

About David Robert Jedrziewski Lmhc, Lmft NPPES

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

DAVID ROBERT JEDRZIEWSKI LMHC, LMFT (NPI 1538733779) is an individual marriage & family therapist in Jacksonville, Florida, licensed in Florida (MT4096) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1538733779
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameDAVID ROBERT JEDRZIEWSKICredential: LMHC, LMFT
Location Address6282 DUPONT STATION CT E STE 2Jacksonville, FL 32217-2515
Mailing Address6282 Dupont Station Ct E Ste 2Jacksonville, FL 32217-2515 · (904) 614-4190
Phone(904) 614-4190
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMay 13, 2021
Last NPPES UpdateJune 24, 20243 updates tracked since enumeration
NPPES CertifiedJune 24, 2024
✔ NPI 1538733779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · MT4096
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License MH19172 (FL)
6282 DUPONT STATION CT E STE 2, 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

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), Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

David Robert Jedrziewski Lmhc, Lmft is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062939531
PECOS Enrollment IDI20250508000660
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show David Jedrziewski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Casey Center For Community Counseling
Same address
Marriage & Family Therapist
6282 DUPONT STATION CT E STE 2
Jacksonville, FL 32217
  • Reassigned Medicare billing, Florida enrollment
NPI 1275377236 (904) 614-4190
Mental Health Specialty Group PA
426 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Florida enrollment
  • 281 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

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

CASEY CENTER FOR COMMUNITY COUNSELING
Marriage & Family Therapist
6282 DUPONT STATION CT E STE 2
JACKSONVILLE, FL 32217
Duval County (904) 614-4190
NEW PATH PSYCHOLOGY EDUCATIONAL AND PSYCHOLOGICAL SERVICES
Psychologist
6282 DUPONT STATION CT E STE 2
JACKSONVILLE, FL 32217
Duval County (904) 900-3594

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 David Jedrziewski's NPI number?

The NPI number for David Jedrziewski is 1538733779. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is David Jedrziewski located?

David Jedrziewski practices at 6282 Dupont Station Ct E Ste 2, Jacksonville, FL 32217. The listed phone number is (904) 614-4190.

What is David Jedrziewski's specialty?

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

Is David Jedrziewski enrolled in Medicare?

Yes. David Jedrziewski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for David Jedrziewski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Jedrziewski reassigns Medicare benefits to 2 organizations: Casey Center For Community Counseling (Jacksonville, FL) and Mental Health Specialty Group PA (Durham, NC). Each 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 David Jedrziewski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Jedrziewski accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list David Jedrziewski 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 David Jedrziewski was last updated on June 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.