JEM THERAPY SERVICES, LLC
NPI 1558048405
Counselor - Mental Health in Orange Park, FL
About Jem Therapy Services, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEM THERAPY SERVICES, LLC (NPI 1558048405) is a healthcare organization registered as a mental health in Orange Park, Florida and active in the NPI registry since July 2023. The organization lists Jennifer Matilla, Licensed Mental Health Counselor/qu, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jem Therapy Services, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Jem Therapy Services, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Jem Therapy Services, LLC's NPI number?
The NPI number for Jem Therapy Services, LLC is 1558048405. It was assigned to this organization in the NPPES registry on July 3, 2023.
Where is Jem Therapy Services, LLC located?
Jem Therapy Services, LLC is located at 1409 Kingsley Ave, Bldg 9, Suite D, Orange Park, FL 32073. The listed phone number is (904) 773-4665.
What is Jem Therapy Services, LLC's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Jem Therapy Services, LLC enrolled in Medicare?
Yes. Jem Therapy Services, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jem Therapy Services, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Mental Health Counselor) reassigns their Medicare billing to Jem Therapy Services, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jem Therapy Services, LLC was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jem Therapy Services, Llc · NPI 1558048405
Mental Health organization in Orange Park, Florida. Organization record, active in the CMS NPPES registry since July 3, 2023.
## Identity
- **NPI:** 1558048405 (Entity type: Organization)
- **Enumerated:** July 3, 2023
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** Jennifer Matilla, LICENSED MENTAL HEALTH COUNSELOR/QU
## Practice location
- **Address:** 1409 KINGSLEY AVE,, BLDG 9, SUITE D, Orange Park, FL 32073-4537
- **Phone:** (904) 773-4665 · **Fax:** (904) 773-4668
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Mental Health Counselor) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 3, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1558048405) · Data from the CMS NPPES public registry.