ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC
NPI 1700360039
Counselor - Mental Health in Jacksonville, FL

Q: What is One Stop Community Base Behavioral Healthcare Inc's specialty?

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

Active since September 21, 2018

12058 SAN JOSE BLVD STE 903, JACKSONVILLE, FL 32223(894) 886-0361(904) 886-0382 Get Directions Write a Review

NPPES record last updated: September 21, 2018. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About One Stop Community Base Behavioral Healthcare Inc NPPES

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

ONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC (NPI 1700360039) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since September 2018. The organization lists Farkhanda Khan, Therapist, as its authorized official.

NPPES Registry Identity

NPI1700360039

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameONE STOP COMMUNITY BASE BEHAVIORAL HEALTHCARE INC

Location Address12058 SAN JOSE BLVD STE 903Jacksonville, FL 32223-8667

Mailing Address3025 Farrington StJacksonville, FL 32224-1821 · (904) 403-3241 · Fax (904) 223-5396

Phone(894) 886-0361

Fax(904) 886-0382

Organization SubpartNo

Authorized OfficialFarkhanda KhanTherapist · (904) 403-3241

Enumeration DateSeptember 21, 2018

✔ NPI 1700360039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

12058 SAN JOSE BLVD STE 903, Jacksonville, FL 32223

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Other Identifiers 1

Medicaid1528489598FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 One Stop Community Base Behavioral Healthcare Inc's NPI number?

The NPI number for One Stop Community Base Behavioral Healthcare Inc is 1700360039. It was assigned to this organization in the NPPES registry on September 21, 2018.

Where is One Stop Community Base Behavioral Healthcare Inc located?

One Stop Community Base Behavioral Healthcare Inc is located at 12058 San Jose Blvd Ste 903, Jacksonville, FL 32223. The listed phone number is (894) 886-0361.

What is One Stop Community Base Behavioral Healthcare Inc'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 One Stop Community Base Behavioral Healthcare Inc was last updated on September 21, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.