Emdr Trauma Therapy Center LLC
NPI 1407474943 · Mental Health Clinic/Center (Including Community Mental Health Center) · Fleming Island, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Emdr Trauma Therapy Center LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Fleming Island, FL (NPI 1407474943).
Provider details
- NPI number
- 1407474943
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeannie Mitchell, Principle/Owner(904) 375-2353
Specialties & taxonomies
Ambulatory Health Care Facilities
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
- Clinical Social Worker1041C0700X
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
5 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
- 2020-07-10
- Last updated
- 2026-01-26
- Certified
- 2026-01-26
Frequently asked questions
- What is Emdr Trauma Therapy Center LLC's NPI number?
- Emdr Trauma Therapy Center LLC's National Provider Identifier (NPI) is 1407474943, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Emdr Trauma Therapy Center LLC?
- Emdr Trauma Therapy Center LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Emdr Trauma Therapy Center LLC located?
- Emdr Trauma Therapy Center LLC's practice location on file with NPPES is 4609 US Highway 17 Ste 1, Fleming Island, FL 32003-4818.
- What is Emdr Trauma Therapy Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Emdr Trauma Therapy Center LLC is (904) 375-2353.
- Does Emdr Trauma Therapy Center LLC accept Medicare?
- Emdr Trauma Therapy Center 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 Emdr Trauma Therapy Center LLC?
- The authorized official listed on Emdr Trauma Therapy Center LLC's NPPES record is Jeannie Mitchell, Principle/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Emdr Trauma Therapy Center LLC's NPI active?
- Yes — Emdr Trauma Therapy Center LLC's NPI (1407474943) is active in the NPPES registry as of the last update on 2026-01-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.