Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184641052 Individual Practitioner Female Practitioner

Tracey Kavanagh , LMHC

Counselor • Jacksonville, FL

Professional Overview & Biography Verified Profile Summary

Tracey Kavanagh, LMHC is a registered healthcare professional specializing in Counselor in Jacksonville, FL. Practice services are available at 1000 RIVERSIDE AVE STE 312 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1000 Riverside Ave Ste 312

Jacksonville, FL 322044174

Telephone 9043182258
Fax 9048081472
Associated Practice Facility / Clinic
🏢 Kavanagh Counseling Facility NPI 1780450528

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Jacksonville, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.3 Yrs
State Avg: 14.5 Yrs
Regional Practice Density
163 Specialists

Practicing in Jacksonville, FL (3441 Statewide)

Telehealth Adoption Rate
1.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-05
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License FL MH4678

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Stephen Kavanagh , LMHC

Counselor - Mental Health

NPI 1225362940

Licensed Mental Health Counselor

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 05, 2023

Registered at 1000 RIVERSIDE AVE STE 312, JACKSONVILLE, FL 322044174 (Tel: 9043182258)

📍
Updated Business Mailing Address December 05, 2023

Registered at 196 APPIAN AVE, SAINT AUGUSTINE, FL 320920040 (Tel: 9043182258)

NPI Profile Active January 29, 2009

NPI status registered as active in NPPES database

📍
Updated Practice Location January 29, 2009

Registered at 3215 HENDRICKS AVE, SUITE 3, JACKSONVILLE, FL 322074280 (Tel: 9043182258)

📍
Updated Business Mailing Address January 29, 2009

Registered at 568 SAINT CLAUDE PL, SAINT JOHNS, FL 322594074 (Tel: 9043182258)

👤
Provider Name / Credentials Updated January 29, 2009

Recorded as TRACEY KAVANAGH, LMHC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2009

Counselor (License #MH4678 in FL)

🟢
Initial NPI Registration & Enumeration July 16, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184641052
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 16, 2006
Last Update: December 05, 2023
Sole Proprietor: Yes

Mailing Address

196 Appian Ave

Saint Augustine, FL 320920040

Phone: 9043182258

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.