OrganizationActive
Keystone Djj, LLC
NPI 1134309438 · Counselor · Bristol, FL
Keystone Djj, LLC is a Counselor organization in Bristol, FL (NPI 1134309438).
Provider details
- NPI number
- 1134309438
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Jeanette Jackson, Program Director(850) 643-4600
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12422 Nw G T Revell Rd
Bristol, FL 32321-3007
Phone: (850) 643-4600
Fax: (850) 643-2061
Approximate (ZIP-level) locationGet directions
Mailing address
12422 Nw G T Revell Rd
Bristol, FL 32321-3007
Other names (DBA / former)
- Other name
- Bristol Youth Academy
Registry dates
- Enumerated
- 2007-11-05
- Last updated
- 2008-06-14
Frequently asked questions
- What is Keystone Djj, LLC's NPI number?
- Keystone Djj, LLC's National Provider Identifier (NPI) is 1134309438, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Keystone Djj, LLC?
- Keystone Djj, LLC is classified in the NPPES registry as Counselor (Behavioral Health & Social Service Providers).
- Where is Keystone Djj, LLC located?
- Keystone Djj, LLC's practice location on file with NPPES is 12422 Nw G T Revell Rd, Bristol, FL 32321-3007.
- What is Keystone Djj, LLC's phone number?
- The practice phone number listed in the NPPES registry for Keystone Djj, LLC is (850) 643-4600.
- Who is the authorized official for Keystone Djj, LLC?
- The authorized official listed on Keystone Djj, LLC's NPPES record is Jeanette Jackson, Program Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Keystone Djj, LLC's NPI active?
- Yes — Keystone Djj, LLC's NPI (1134309438) is active in the NPPES registry as of the last update on 2008-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.