Authentic Self Counseling of Jacksonville, LLC
NPI 1407400591 · Mental Health Counselor · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Authentic Self Counseling of Jacksonville, LLC is a Mental Health Counselor organization in Jacksonville, FL (NPI 1407400591).
Provider details
- NPI number
- 1407400591
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Michelle Anderson, Owner(904) 990-7117
Specialties & taxonomies
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
6 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
Registry dates
- Enumerated
- 2019-07-28
- Last updated
- 2025-08-08
- Certified
- 2025-08-08
Frequently asked questions
- What is Authentic Self Counseling of Jacksonville, LLC's NPI number?
- Authentic Self Counseling of Jacksonville, LLC's National Provider Identifier (NPI) is 1407400591, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Authentic Self Counseling of Jacksonville, LLC?
- Authentic Self Counseling of Jacksonville, LLC is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Authentic Self Counseling of Jacksonville, LLC located?
- Authentic Self Counseling of Jacksonville, LLC's practice location on file with NPPES is 7235 Bentley Rd Ste 308, Jacksonville, FL 32256-7506.
- What is Authentic Self Counseling of Jacksonville, LLC's phone number?
- The practice phone number listed in the NPPES registry for Authentic Self Counseling of Jacksonville, LLC is (904) 990-7117.
- Does Authentic Self Counseling of Jacksonville, LLC accept Medicare?
- Authentic Self Counseling of Jacksonville, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Authentic Self Counseling of Jacksonville, LLC?
- The authorized official listed on Authentic Self Counseling of Jacksonville, LLC's NPPES record is Michelle Anderson, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Authentic Self Counseling of Jacksonville, LLC's NPI active?
- Yes — Authentic Self Counseling of Jacksonville, LLC's NPI (1407400591) is active in the NPPES registry as of the last update on 2025-08-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.