Beaches Behavioral Health LLC
NPI 1770955254 · Clinical Social Worker · Jacksonville, FL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Beaches Behavioral Health LLC is a Clinical Social Worker organization in Jacksonville, FL (NPI 1770955254).
Provider details
- NPI number
- 1770955254
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lisa Rotella, Owner(610) 331-2645
- License
- SW13084 (FL)
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
10 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
- Psychlife
- Doing business as
- Psychlife
Registry dates
- Enumerated
- 2015-10-23
- Last updated
- 2021-09-17
- Certified
- 2021-09-17
Frequently asked questions
- What is Beaches Behavioral Health LLC's NPI number?
- Beaches Behavioral Health LLC's National Provider Identifier (NPI) is 1770955254, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Beaches Behavioral Health LLC?
- Beaches Behavioral Health LLC is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Beaches Behavioral Health LLC located?
- Beaches Behavioral Health LLC's practice location on file with NPPES is 3733 University Blvd W Ste 209, Jacksonville, FL 32217-2103.
- What is Beaches Behavioral Health LLC's phone number?
- The practice phone number listed in the NPPES registry for Beaches Behavioral Health LLC is (904) 543-6055.
- Does Beaches Behavioral Health LLC accept Medicare?
- Beaches Behavioral Health 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 Beaches Behavioral Health LLC?
- The authorized official listed on Beaches Behavioral Health LLC's NPPES record is Lisa Rotella, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Beaches Behavioral Health LLC's NPI active?
- Yes — Beaches Behavioral Health LLC's NPI (1770955254) is active in the NPPES registry as of the last update on 2021-09-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.