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ROSE MARIE PENA
NPI 1679948699
Marriage & Family Therapist in Jacksonville, FL

Active since December 02, 2015
580 ELLIS RD S, SUITE 118, JACKSONVILLE, FL 32254(904) 423-0017(904) 683-8169 Get Directions Write a Review

NPPES record last updated: December 2, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Rose Marie Pena NPPES

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

ROSE MARIE PENA (NPI 1679948699) is an individual marriage & family therapist in Jacksonville, Florida, licensed in Florida (IMT2414) and active in the NPI registry since December 2015.

NPPES Registry Identity

NPI1679948699
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameROSE MARIE PENA
Location Address580 ELLIS RD S, SUITE 118Jacksonville, FL 32254-3582
Mailing Address580 Ellis Rd S, Suite 118Jacksonville, FL 32254-3582 · (904) 423-0017 · Fax (904) 683-8169
Phone(904) 423-0017
Fax(904) 683-8169
Sole ProprietorYes
Enumeration DateDecember 2, 2015
✔ NPI 1679948699 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in FL · IMT2414
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
580 ELLIS RD S, Jacksonville, FL 32254
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Other Providers at the Same Location NPPES 6

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

SOUTH REHABILITATION CENTER, INC.
Community/Behavioral Health
580 ELLIS RD S, SUITE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
STEPHANIE CHERYL BOSH MS, MCAP
Counselor
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
MELISSA MORROW LAMB
Counselor
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
MS. JACQUELINE BAKER MH21380
Counselor (Addiction (Substance Use Disorder))
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (904) 423-0017
SRC
Community/Behavioral Health
580 ELLIS RD S
JACKSONVILLE, FL 32254
Duval County (678) 886-3984
ALEXANDRA JONES MA
Counselor (Mental Health)
580 ELLIS RD S, STE 118
JACKSONVILLE, FL 32254
Duval County (904) 423-0017

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 Rose Marie Pena's NPI number?

The NPI number for Rose Marie Pena is 1679948699. It was assigned to this individual provider in the NPPES registry on December 2, 2015.

Where is Rose Marie Pena located?

Rose Marie Pena practices at 580 Ellis Rd S Suite 118, Jacksonville, FL 32254. The listed phone number is (904) 423-0017.

What is Rose Marie Pena's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Rose Marie Pena was last updated on December 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.