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PROACTIVE LIFE SKILLS LLC
NPI 1902331382
Community/Behavioral Health in Jacksonville, FL

Active since April 24, 2017
13121 ATLANTIC BLVD, SUITE 200, JACKSONVILLE, FL 32225(904) 228-8358 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 18, 2024, Apr 24, 2017 (2 updates tracked since 2017).

About Proactive Life Skills Llc NPPES

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

PROACTIVE LIFE SKILLS LLC (NPI 1902331382) is a healthcare organization registered as a community/behavioral health in Jacksonville, Florida and active in the NPI registry since April 2017. The organization lists Kelly Noda, Managing Director, as its authorized official.

NPPES Registry Identity

NPI1902331382
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NamePROACTIVE LIFE SKILLS LLC
Location Address13121 ATLANTIC BLVD, SUITE 200Jacksonville, FL 32225-0103
Mailing Address13121 Atlantic Blvd, Suite 200Jacksonville, FL 32225-0103
Phone(904) 228-8358
Organization SubpartNo
Authorized OfficialKelly NodaManaging Director · (904) 228-8358
Enumeration DateApril 24, 2017
Last NPPES UpdateJune 18, 20242 updates tracked since enumeration
NPPES CertifiedJune 18, 2024
✔ NPI 1902331382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
13121 ATLANTIC BLVD, Jacksonville, FL 32225
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 5

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

DARBY ANN HARRIS
Behavior Analyst
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111
CHARIS SIMS
Behavior Technician
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111
ROSS WEISHEIT LMT
Massage Therapist
13121 ATLANTIC BLVD, SUITE 100
JACKSONVILLE, FL 32225
Duval County (904) 221-2232
PACIFICA CARE PLLC
Clinic/Center (Adult Mental Health)
13121 ATLANTIC BLVD, SUITE 100
JACKSONVILLE, FL 32225
Duval County (904) 221-2232
KESHA DEVONA TAYLOR
Behavior Technician
13121 ATLANTIC BLVD
JACKSONVILLE, FL 32225
Duval County (904) 491-2111

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 Proactive Life Skills LLC's NPI number?

The NPI number for Proactive Life Skills LLC is 1902331382. It was assigned to this organization in the NPPES registry on April 24, 2017.

Where is Proactive Life Skills LLC located?

Proactive Life Skills LLC is located at 13121 Atlantic Blvd Suite 200, Jacksonville, FL 32225. The listed phone number is (904) 228-8358.

What is Proactive Life Skills LLC's specialty?

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

What insurance does Proactive Life Skills LLC accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Proactive Life Skills LLC 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 Proactive Life Skills LLC was last updated on June 18, 2024. 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.