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

Active since May 13, 2021PECOS Enrolled
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: August 02, 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), Molina Healthcare and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David Robert Jedrziewski Lmhc, Lmft is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2062939531
PECOS Enrollment IDI20260518002807
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.

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 enrollment system.

What insurance does David Jedrziewski accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, 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.