AMBRIA JACQUELYN PAGE LCSW
NPI 1821361619
Counselor - Mental Health in Palm Coast, FL

Active since February 10, 2012Opted out of Medicare · through Apr 1, 2027
1 HARGROVE GRADE STE 1E, PALM COAST, FL 32137(904) 315-9248(386) 309-2350 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ambria Jacquelyn Page Lcsw NPPES

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

AMBRIA JACQUELYN PAGE LCSW (NPI 1821361619) is an individual mental health provider in Palm Coast, Florida, licensed in Florida (SW12139) and active in the NPI registry since February 2012. She has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1821361619
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAMBRIA JACQUELYN PAGECredential: LCSW
Location Address1 HARGROVE GRADE STE 1EPalm Coast, FL 32137-5116
Mailing Address1 Hargrove Grade Ste 1ePalm Coast, FL 32137-5116 · (904) 315-9248 · Fax (386) 309-2350
Fax(386) 309-2350
Sole ProprietorYes
Enumeration DateFebruary 10, 2012
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1821361619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · SW12139
1 HARGROVE GRADE STE 1E, Palm Coast, FL 32137

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Ambria Jacquelyn Page Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2025 through April 1, 2027.

Opt-Out Effective DateApril 1, 2025
Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

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

Counselor (Mental Health)
1 HARGROVE GRADE STE 1E
PALM COAST, FL 32137
Counselor (Mental Health)
1 HARGROVE GRADE STE 1E
PALM COAST, FL 32137
Social Worker (Clinical)
1 HARGROVE GRADE STE 1E
PALM COAST, FL 32137
Social Worker (Clinical)
1 HARGROVE GRADE STE 1E
PALM COAST, FL 32137

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 Ambria Page's NPI number?

The NPI number for Ambria Page is 1821361619. It was assigned to this individual provider in the NPPES registry on February 10, 2012.

Where is Ambria Page located?

Ambria Page practices at 1 Hargrove Grade Ste 1E, Palm Coast, FL 32137. The listed phone number is (904) 315-9248.

What is Ambria Page's specialty?

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

Is Ambria Page enrolled in Medicare?

No. Ambria Page has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Ambria Page accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Florida Health Care Plans, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Ambria Page as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ambria Page was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.