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CASEY CENTER FOR COMMUNITY COUNSELING
NPI 1811513534
Counselor - Mental Health in Fleming Island, FL

Active since June 18, 2020
2386 STOCKTON DR, FLEMING ISLAND, FL 32003(904) 614-4190 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 7, 2020, Jun 18, 2020 (2 updates tracked since 2020).

About Casey Center For Community Counseling NPPES

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

CASEY CENTER FOR COMMUNITY COUNSELING (NPI 1811513534) is a healthcare organization registered as a mental health in Fleming Island, Florida and active in the NPI registry since June 2020. The organization lists David Robert Jedrziewski, Coo, as its authorized official.

NPPES Registry Identity

NPI1811513534
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameCASEY CENTER FOR COMMUNITY COUNSELING
Location Address2386 STOCKTON DRFleming Island, FL 32003-8787
Mailing Address2386 Stockton DrFleming Island, FL 32003-8787 · (904) 614-4190
Phone(904) 614-4190
Organization SubpartNo
Authorized OfficialDavid Robert JedrziewskiCoo · (904) 614-4190
Enumeration DateJune 18, 2020
Last NPPES UpdateAugust 7, 20202 updates tracked since enumeration
NPPES CertifiedAugust 7, 2020
✔ NPI 1811513534 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
2386 STOCKTON DR, Fleming Island, FL 32003
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Other Names 1

Doing Business AsCasey Center For Community Counseling

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 Casey Center For Community Counseling's NPI number?

The NPI number for Casey Center For Community Counseling is 1811513534. It was assigned to this organization in the NPPES registry on June 18, 2020.

Where is Casey Center For Community Counseling located?

Casey Center For Community Counseling is located at 2386 Stockton Dr, Fleming Island, FL 32003. The listed phone number is (904) 614-4190.

What is Casey Center For Community 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 Casey Center For Community Counseling was last updated on August 7, 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.