OrganizationActive
Src
NPI 1841686433 · Community/Behavioral Health Agency · Jacksonville, FL
Src is a Community/Behavioral Health Agency organization in Jacksonville, FL (NPI 1841686433).
Provider details
- NPI number
- 1841686433
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Tanya Lake-Smith, Mental Health Counselor(678) 886-3984
Specialties & taxonomies
Agencies
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
580 Ellis Rd S
Jacksonville, FL 32254-3582
Phone: (678) 886-3984
Street-level locationGet directions
Mailing address
11993 Alexandra Dr
Jacksonville, FL 32218-8880
Registry dates
- Enumerated
- 2015-04-09
- Last updated
- 2015-04-09
Frequently asked questions
- What is Src's NPI number?
- Src's National Provider Identifier (NPI) is 1841686433, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Src?
- Src is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Src located?
- Src's practice location on file with NPPES is 580 Ellis Rd S, Jacksonville, FL 32254-3582.
- What is Src's phone number?
- The practice phone number listed in the NPPES registry for Src is (678) 886-3984.
- Who is the authorized official for Src?
- The authorized official listed on Src's NPPES record is Tanya Lake-Smith, Mental Health Counselor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Src's NPI active?
- Yes — Src's NPI (1841686433) is active in the NPPES registry as of the last update on 2015-04-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.