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KAVANAGH COUNSELING
NPI 1780450528
Counselor - Mental Health in Jacksonville, FL

Active since December 04, 2023
1000 RIVERSIDE AVE STE 312, JACKSONVILLE, FL 32204(904) 318-2258 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kavanagh Counseling NPPES

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

KAVANAGH COUNSELING (NPI 1780450528) is a healthcare organization registered as a mental health in Jacksonville, Florida and active in the NPI registry since December 2023. The organization maintains a secondary practice location in Saint Johns and lists Tracey Kavanagh, President, as its authorized official.

NPPES Registry Identity

NPI1780450528
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameKAVANAGH COUNSELING
Location Address1000 RIVERSIDE AVE STE 312Jacksonville, FL 32204-4174
Mailing Address196 Appian AveSaint Augustine, FL 32092-0040 · (904) 318-2258
Phone(904) 318-2258
Organization SubpartNo
Authorized OfficialTracey KavanaghPresident · (904) 318-2258
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 2, 2023
✔ NPI 1780450528 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
1000 RIVERSIDE AVE STE 312, Jacksonville, FL 32204
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Secondary Practice Location 1

Location 11637 Race Track Rd Ste 221Saint Johns, FL 32259-3238 · Phone (904) 318-2258

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

Other Providers at the Same Location NPPES

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

TRACEY KAVANAGH LMHC
Counselor
1000 RIVERSIDE AVE STE 312
JACKSONVILLE, FL 32204
Duval County (904) 318-2258

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 Kavanagh Counseling's NPI number?

The NPI number for Kavanagh Counseling is 1780450528. It was assigned to this organization in the NPPES registry on December 4, 2023.

Where is Kavanagh Counseling located?

Kavanagh Counseling is located at 1000 Riverside Ave Ste 312, Jacksonville, FL 32204. The listed phone number is (904) 318-2258.

What is Kavanagh Counseling'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 Kavanagh Counseling was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.