FULL CONNECTIONS COUNSELING
NPI 1790340065
Community/Behavioral Health in Orange Park, FL

Active since May 02, 2019
752 BLANDING BLVD STE 130, ORANGE PARK, FL 32065(904) 637-5297 Get Directions Write a Review

NPPES record last updated: June 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 25, 2020, May 2, 2019 (2 updates tracked since 2019).

About Full Connections Counseling NPPES

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

FULL CONNECTIONS COUNSELING (NPI 1790340065) is a healthcare organization registered as a community/behavioral health in Orange Park, Florida and active in the NPI registry since May 2019. The organization maintains a secondary practice location in Jacksonville and lists Domonique Jackson, Owner, as its authorized official.

NPPES Registry Identity

NPI1790340065
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameFULL CONNECTIONS COUNSELING
Location Address752 BLANDING BLVD STE 130Orange Park, FL 32065-5790
Mailing Address3045 Russell RdGreen Cove Springs, FL 32043-8209
Organization SubpartNo
Authorized OfficialDomonique JacksonOwner · (904) 637-5297
Enumeration DateMay 2, 2019
Last NPPES UpdateJune 25, 20202 updates tracked since enumeration
NPPES CertifiedJune 25, 2020
NPI 1790340065 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
752 BLANDING BLVD STE 130, Orange Park, FL 32065

Secondary Practice Location 1

Location 13100 University Blvd S Ste 218Jacksonville, FL 32216-2727 · Phone (904) 505-1844

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.

Social Worker (Clinical)
752 BLANDING BLVD STE 130
ORANGE PARK, FL 32065

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 Full Connections Counseling's NPI number?

The NPI number for Full Connections Counseling is 1790340065. It was assigned to this organization in the NPPES registry on May 2, 2019.

Where is Full Connections Counseling located?

Full Connections Counseling is located at 752 Blanding Blvd Ste 130, Orange Park, FL 32065. The listed phone number is (904) 637-5297.

What is Full Connections Counseling's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Full Connections Counseling was last updated on June 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.