Jacqueline Leigh (Preferred) Mathis , REGISTERED INTERN
Counselor - Mental Health • St Augustine, FL
Professional Overview & Biography Verified Profile Summary
Jacqueline Mathis, REGISTERED INTERN is a registered healthcare professional specializing in Counselor - Mental Health in St Augustine, FL. Practice services are available at 319 W TOWN PL STE 21 under active NPI credentials.
Practice Location & Contact Primary Location
319 W Town Pl Ste 21
St Augustine, FL 320923103
Specialty Benchmarks & Practice Insights
Comparative analytics for Counselor - Mental Health in St Augustine, FL
Practicing in St Augustine, FL (23930 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2026-07-01NUCC Taxonomy Code: 101YM0800X
Definition to come...
Career & Practice History Timeline
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Registered at 319 W TOWN PL STE 21, ST AUGUSTINE, FL 320923103 (Tel: 9046409099)
Counselor (License #MH27996 in FL)
NPI status registered as active in NPPES database
Registered at 100 E TOWN PL UNIT 207, ST AUGUSTINE, FL 320920664 (Tel: 8506298242)
Registered at 2872 N 1ST ST, ST AUGUSTINE, FL 320841942 (Tel: 5616762529)
Recorded as JACQUELINE MATHIS, REGISTERED INTERN
Counselor (License #IMH25564 in FL)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
2872 N 1st St
St Augustine, FL 320841942
Phone: 5616762529
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