River's Edge Counseling, PLLC
NPI 1053981852ActiveOrganization· Counselor, Mental Health· Jacksonville, FL
Counselor, Mental Health in Jacksonville, Florida, registered in NPPES in June 2021, part of Rivers Edge Counseling PLLC. The authorized official on file is Amanda Hannah, Owner.
Overview
| NPI | 1053981852 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Rivers Edge Counseling PLLC |
| NPI issued | Jun 25, 2021 |
| Last updated in NPPES | Jun 25, 2021 |
| Certified by provider | Jun 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | — | — |
| Counselor | 101Y00000X | — | — |
| Social Worker | 104100000X | — | — |
| Social Worker, Clinical | 1041C0700X | — | — |
| Marriage & Family Therapist | 106H00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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