Southern Baptist Hospital
NPI 1790986578ActiveOrganization· Psychologist, Counseling· Jacksonville, FL
Psychologist, Counseling in Jacksonville, Florida, registered in NPPES in May 2007. The authorized official on file is Ellen Williams, PHD, Director.
Overview
| NPI | 1790986578 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2007 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Counseling Primary | 103TC1900X | — | FL |
| Counselor, Mental Health | 101YM0800X | — | FL |
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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