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J-NISSI'S THERAPY & COUNSELING LLC
NPI 1558890392
Counselor - Mental Health in Orange Park, FL

Active since June 06, 2017
1536 KINGSLEY AVE STE 120, ORANGE PARK, FL 32073(904) 304-3800(904) 644-7123 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Jul 21, 2022, Jun 6, 2017 (2 updates tracked since 2017).

About J-nissi's Therapy & Counseling Llc NPPES

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

J-NISSI'S THERAPY & COUNSELING LLC (NPI 1558890392) is a healthcare organization registered as a mental health in Orange Park, Florida and active in the NPI registry since June 2017. The organization lists Renee Anita Dunham, Owner, as its authorized official.

NPPES Registry Identity

NPI1558890392
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameJ-NISSI'S THERAPY & COUNSELING LLC
Location Address1536 KINGSLEY AVE STE 120Orange Park, FL 32073-4525
Mailing Address1536 Kingsley Ave Ste 120Orange Park, FL 32073-4525 · (904) 304-3800 · Fax (904) 644-7123
Phone(904) 304-3800
Fax(904) 644-7123
Organization SubpartNo
Authorized OfficialRenee Anita DunhamOwner · (903) 304-3800
Enumeration DateJune 6, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1558890392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH11462
1536 KINGSLEY AVE STE 120, Orange Park, FL 32073
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Other Identifiers 3

OtherMH11462FL · Florida Department Health
Medicaid007347100FL
Other5901FL · Florida Certification Board

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

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 J-Nissi's Therapy & Counseling LLC's NPI number?

The NPI number for J-Nissi's Therapy & Counseling LLC is 1558890392. It was assigned to this organization in the NPPES registry on June 6, 2017.

Where is J-Nissi's Therapy & Counseling LLC located?

J-Nissi's Therapy & Counseling LLC is located at 1536 Kingsley Ave Ste 120, Orange Park, FL 32073. The listed phone number is (904) 304-3800.

What is J-Nissi's Therapy & Counseling LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for J-Nissi's Therapy & Counseling LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.