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PACIFICA CARE PLLC
NPI 1669775037
Clinic/Center - Adult Mental Health in Jacksonville, FL

Active since December 07, 2010CLIA 10D2017795 · Waiver
13121 ATLANTIC BLVD, SUITE 100, JACKSONVILLE, FL 32225(904) 221-2232(904) 221-2205 Get Directions Write a Review

NPPES record last updated: January 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pacifica Care Pllc NPPES

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

PACIFICA CARE PLLC (NPI 1669775037) is a healthcare organization registered as an adult mental health in Jacksonville, Florida and active in the NPI registry since December 2010. The organization holds a CLIA Waiver certificate valid through December 16, 2026 and lists Peggy A Arcanz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1669775037
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NamePACIFICA CARE PLLC
Location Address13121 ATLANTIC BLVD, SUITE 100Jacksonville, FL 32225
Mailing Address13121 Atlantic Blvd, Suite 100Jacksonville, FL 32225 · (904) 221-2232 · Fax (904) 221-2205
Phone(904) 221-2232
Fax(904) 221-2205
Organization SubpartNo
Authorized OfficialPeggy A ArcanzAdministrator · (904) 221-2232
Enumeration DateDecember 7, 2010
Last NPPES UpdateJanuary 10, 2012
✔ NPI 1669775037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
Licenses✔ Licensed in FL · HCC8789✔ Licensed in FL · 9102783
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
13121 ATLANTIC BLVD, Jacksonville, FL 32225
Open in Google Maps ↗

Other Identifiers 3

Medicare PINU6812AFL
Medicaid292650400FL
Medicare UPINQ02170

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), Wellpoint.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2017795

Pacifica Care PLLC · Jacksonville, FL
Active · expires Dec 16, 2026
CLIA Number10D2017795
Laboratory TypePhysician Office
Certificate Effective DateDecember 17, 2024
Certificate Expiration DateDecember 16, 2026
Laboratory DirectorDonna B. Treesh
Laboratory Phone(904) 221-2232
Laboratory LocationPacifica Care PLLC13121 Atlantic Blvd Ste 100, Jacksonville, FL 32225
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

DARBY ANN HARRIS
Behavior Analyst
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111
CHARIS SIMS
Behavior Technician
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111
ROSS WEISHEIT LMT
Massage Therapist
13121 ATLANTIC BLVD, SUITE 100
JACKSONVILLE, FL 32225
Duval County (904) 221-2232
PROACTIVE LIFE SKILLS LLC
Community/Behavioral Health
13121 ATLANTIC BLVD, SUITE 200
JACKSONVILLE, FL 32225
Duval County (904) 228-8358
KESHA DEVONA TAYLOR
Behavior Technician
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111

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 Pacifica Care PLLC's NPI number?

The NPI number for Pacifica Care PLLC is 1669775037. It was assigned to this organization in the NPPES registry on December 7, 2010.

Where is Pacifica Care PLLC located?

Pacifica Care PLLC is located at 13121 Atlantic Blvd Suite 100, Jacksonville, FL 32225. The listed phone number is (904) 221-2232.

What is Pacifica Care PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Does Pacifica Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2017795) is associated with this NPI, valid through December 16, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Pacifica Care PLLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list Pacifica Care PLLC 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 Pacifica Care PLLC was last updated on January 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.