A SAFE PORT COUNSELING LLC
NPI 1982380648
Social Worker - Clinical in Saint Augustine, FL

Q: What is A Safe Port Counseling LLC's NPI number?

The NPI number for A Safe Port Counseling LLC is 1982380648. It was assigned to this organization in the NPPES registry on June 26, 2023.

Q: What is A Safe Port Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since June 26, 2023

4925 ATLANTIC VW, SAINT AUGUSTINE, FL 32080(662) 315-8357 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About A Safe Port Counseling Llc NPPES

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

A SAFE PORT COUNSELING LLC (NPI 1982380648) is a healthcare organization registered as a clinical in Saint Augustine, Florida and active in the NPI registry since June 2023. The organization lists Justin Forrest Dement, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1982380648

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameA SAFE PORT COUNSELING LLC

Location Address4925 ATLANTIC VWSaint Augustine, FL 32080-7139

Mailing Address4925 Atlantic VwSaint Augustine, FL 32080-7139

Phone(662) 315-8357

Organization SubpartNo

Authorized OfficialJustin Forrest DementSole Mbr · (662) 315-8357

Enumeration DateJune 26, 2023

Last NPPES UpdateSeptember 12, 2024

NPPES CertifiedSeptember 12, 2024

✔ NPI 1982380648 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

4925 ATLANTIC VW, Saint Augustine, FL 32080

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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

A Safe Port Counseling Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to A Safe Port Counseling LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Justin Dement, LCSW

Clinical Social Worker

NPI 1285149823

4925 ATLANTIC VW
Saint Augustine, FL 32080

(662) 315-8357

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 A Safe Port Counseling LLC's NPI number?

The NPI number for A Safe Port Counseling LLC is 1982380648. It was assigned to this organization in the NPPES registry on June 26, 2023.

Where is A Safe Port Counseling LLC located?

A Safe Port Counseling LLC is located at 4925 Atlantic Vw, Saint Augustine, FL 32080. The listed phone number is (662) 315-8357.

What is A Safe Port Counseling LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is A Safe Port Counseling LLC enrolled in Medicare?

Yes. A Safe Port Counseling LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through A Safe Port Counseling LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to A Safe Port Counseling LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for A Safe Port Counseling LLC was last updated on September 12, 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.