Healthcare Provider Details

I. General information

NPI: 1427960178
Provider Name (Legal Business Name): JASON OWENBY COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4210 NW 37TH PL STE 400
GAINESVILLE FL
32606-7701
US

IV. Provider business mailing address

4210 NW 37TH PL STE 400
GAINESVILLE FL
32606-7701
US

V. Phone/Fax

Practice location:
  • Phone: 352-231-5405
  • Fax:
Mailing address:
  • Phone: 352-231-5405
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JASON OWENBY
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: MA, LMHC
Phone: 352-231-5405