IndividualActive
Tasha Brundge
NPI 1417324021 · Mental Health Counselor · Jacksonville, FL
Tasha Brundge is a Mental Health Counselor provider in Jacksonville, FL (NPI 1417324021).
Provider details
- NPI number
- 1417324021
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
83% 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
2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Phone: (904) 781-7797
Fax: (904) 854-0506
Street-level locationGet directions
Mailing address
2392 Edgewood Ave N
Jacksonville, FL 32254-1725
Registry dates
- Enumerated
- 2015-08-31
- Last updated
- 2015-08-31
Frequently asked questions
- What is Tasha Brundge's NPI number?
- Tasha Brundge's National Provider Identifier (NPI) is 1417324021, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tasha Brundge's specialty?
- Tasha Brundge is listed in the NPPES registry with a primary specialty of Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Tasha Brundge located?
- Tasha Brundge's practice location on file with NPPES is 2392 Edgewood Ave N, Jacksonville, FL 32254-1725.
- What is Tasha Brundge's phone number?
- The practice phone number listed in the NPPES registry for Tasha Brundge is (904) 781-7797.
- Is Tasha Brundge's NPI active?
- Yes — Tasha Brundge's NPI (1417324021) is active in the NPPES registry as of the last update on 2015-08-31.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.