Prodigal S D Corporation
NPI 1184153934 · Addiction (Substance Use Disorder) Counselor · Jacksonville, FL
Prodigal S D Corporation is a Addiction (Substance Use Disorder) Counselor organization in Jacksonville, FL (NPI 1184153934).
Provider details
- NPI number
- 1184153934
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Parent organization
- Prodigal S D Corporation
- Organization subpart
- Yes
- Authorized official
- Freda Stevens, Executive Director(904) 930-4244
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Pastoral Counselor101YP1600X
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Group Psychotherapy Psychologist103TP2701X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Other names (DBA / former)
- Doing business as
- Prodigal Kids
Registry dates
- Enumerated
- 2017-06-06
- Last updated
- 2017-06-06
Frequently asked questions
- What is Prodigal S D Corporation's NPI number?
- Prodigal S D Corporation's National Provider Identifier (NPI) is 1184153934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prodigal S D Corporation?
- Prodigal S D Corporation is classified in the NPPES registry as Addiction (Substance Use Disorder) Counselor (Behavioral Health & Social Service Providers).
- Where is Prodigal S D Corporation located?
- Prodigal S D Corporation's practice location on file with NPPES is 9521 Shellie Rd Ste 13, Jacksonville, FL 32257-6174.
- What is Prodigal S D Corporation's phone number?
- The practice phone number listed in the NPPES registry for Prodigal S D Corporation is (904) 930-4244.
- Who is the authorized official for Prodigal S D Corporation?
- The authorized official listed on Prodigal S D Corporation's NPPES record is Freda Stevens, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prodigal S D Corporation's NPI active?
- Yes — Prodigal S D Corporation's NPI (1184153934) is active in the NPPES registry as of the last update on 2017-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.