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MS. DORIS BENREY-BOGUSLAVSKY
NPI 1992477731
Counselor - Mental Health in Jacksonville, FL

Active since September 30, 2021PECOS Enrolled
10752 DEERWOOD PARK BLVD, JACKSONVILLE, FL 32256(904) 618-1847(904) 621-9339 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 1, 2026, Sep 30, 2021 (2 updates tracked since 2021).

About Ms. Doris Benrey-boguslavsky NPPES

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

MS. DORIS BENREY-BOGUSLAVSKY (NPI 1992477731) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (IMH21526) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange Park.

NPPES Registry Identity

NPI1992477731
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. DORIS BENREY-BOGUSLAVSKY
Location Address10752 DEERWOOD PARK BLVDJacksonville, FL 32256-4849
Mailing Address10752 Deerwood Park BlvdJacksonville, FL 32256-4849 · (904) 618-1847 · Fax (904) 621-9339
Phone(904) 618-1847
Fax(904) 621-9339
Sole ProprietorYes
Enumeration DateSeptember 30, 2021
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1992477731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · IMH21526
Also ListedDevelopmental TherapistTaxonomy 222Q00000X
10752 DEERWOOD PARK BLVD, Jacksonville, FL 32256
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Secondary Practice Location 1

Location 1165 Wells Rd Ste 203Orange Park, FL 32073-3036 · Phone (904) 269-3522 · Fax (904) 621-9339

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Doris Benrey-boguslavsky is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

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

COLLEEN H WRIGHT LMHC
Counselor (Mental Health)
10752 DEERWOOD PARK BLVD, SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 394-2868
D B PATHS LLC
Counselor
10752 DEERWOOD PARK BLVD
JACKSONVILLE, FL 32256
Duval County (904) 842-2461
MICHAEL BAUER
Behavior Technician
10752 DEERWOOD PARK BLVD, SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 417-8395
THERAPY-INTERVENTIONS
Counselor
10752 DEERWOOD PARK BLVD, SUITE
JACKSONVILLE, FL 32256
Duval County (904) 394-2868
DR. SANDI LEA SAGE PH.D, LMHC
Counselor (Mental Health)
10752 DEERWOOD PARK BLVD, SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 394-2903
IMPACT 13 MEDICAL, PLLC
Psychiatry & Neurology (Neurology)
10752 DEERWOOD PARK BLVD, SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 755-1017
KD'S HELPING HAND HOME CARE, LLC
Home Health
10752 DEERWOOD PARK BLVD, SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 639-6064
WIL EDVARD GERMAIN M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
10752 DEERWOOD PARK BLVD, SOUTH WATERVIEW II SUITE 100
JACKSONVILLE, FL 32256
Duval County (904) 755-1017

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 Doris Benrey-boguslavsky's NPI number?

The NPI number for Doris Benrey-boguslavsky is 1992477731. It was assigned to this individual provider in the NPPES registry on September 30, 2021.

Where is Doris Benrey-boguslavsky located?

Doris Benrey-boguslavsky practices at 10752 Deerwood Park Blvd, Jacksonville, FL 32256. The listed phone number is (904) 618-1847.

What is Doris Benrey-boguslavsky's specialty?

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

Is Doris Benrey-boguslavsky enrolled in Medicare?

Yes. Doris Benrey-boguslavsky is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Doris Benrey-boguslavsky was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.