KATHLEEN ELIZABETH PEADEN - NPI 1679450563 - Counselor in Jacksonville, FL

Q: What is Kathleen Peaden's NPI number?

The NPI number for Kathleen Peaden is 1679450563. It was assigned to this individual provider in the NPPES registry on August 20, 2025.

Q: What is Kathleen Peaden's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathleen Peaden was last updated on September 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Kathleen Elizabeth Peaden NPPES

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

KATHLEEN ELIZABETH PEADEN (NPI 1679450563) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH28339) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1679450563

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameKATHLEEN ELIZABETH PEADEN

Location Address5776 SAINT AUGUSTINE RDJacksonville, FL 32207-8046

Mailing Address5776 Saint Augustine RdJacksonville, FL 32207-8046

Phone(904) 832-0251

Sole ProprietorNo

Enumeration DateAugust 20, 2025

Last NPPES UpdateSeptember 8, 2025

NPPES CertifiedSeptember 8, 2025

✔ NPI 1679450563 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 · IMH28339

5776 SAINT AUGUSTINE RD, Jacksonville, FL 32207

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Other Providers at the Same Location NPPES 20

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

MRS. AMANDA KAY CALLAHAN LCSW

Social Worker (Clinical)