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MS. JEFKIDA LASHA JOHNSON
NPI 1639690381
Counselor - Mental Health in Jacksonville Beach, FL

Active since July 03, 2017
320 1ST ST N STE 612, JACKSONVILLE BEACH, FL 32250(334) 647-1009(888) 856-7677 Get Directions Write a Review

NPPES record last updated: April 26, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 26, 2022, Aug 13, 2020, Aug 9, 2019 and 2 more (5 updates tracked since 2017).

About Ms. Jefkida Lasha Johnson NPPES

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

MS. JEFKIDA LASHA JOHNSON (NPI 1639690381) is an individual mental health provider in Jacksonville Beach, Florida and active in the NPI registry since July 2017. She maintains a secondary practice location in Montgomery.

NPPES Registry Identity

NPI1639690381
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JEFKIDA LASHA JOHNSON
Location Address320 1ST ST N STE 612Jacksonville Beach, FL 32250-6947
Mailing Address7007 Potsdam CtMontgomery, AL 36117-8028 · (334) 320-0084 · Fax (888) 856-7677
Phone(334) 647-1009
Fax(888) 856-7677
Sole ProprietorNo
Enumeration DateJuly 3, 2017
Last NPPES UpdateApril 26, 20225 updates tracked since enumeration
NPPES CertifiedApril 26, 2022
✔ NPI 1639690381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedPsychologist · CounselingTaxonomy 103TC1900X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
320 1ST ST N STE 612, Jacksonville Beach, FL 32250
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Secondary Practice Location 1

Location 17007 Potsdam CtMontgomery, AL 36117-8028 · Phone (334) 320-0084 · Fax (888) 856-7677

Other Identifiers 3

Medicaid840832FL
Medicaid241522AL
Medicaid300011840AL

Other Providers at the Same Location NPPES

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

A NEW DIRECTION BREAKING THE CYCLE OF POVERTY
Clinic/Center (Mental Health (Including Community Mental Health Center))
320 1ST ST N STE 612
JACKSONVILLE BEACH, FL 32250
Duval County (334) 647-1009

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 Jefkida Johnson's NPI number?

The NPI number for Jefkida Johnson is 1639690381. It was assigned to this individual provider in the NPPES registry on July 3, 2017.

Where is Jefkida Johnson located?

Jefkida Johnson practices at 320 1st St N Ste 612, Jacksonville Beach, FL 32250. The listed phone number is (334) 647-1009.

What is Jefkida Johnson'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 Jefkida Johnson was last updated on April 26, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.