Healthcare Provider Details

I. General information

NPI: 1447406467
Provider Name (Legal Business Name): JENNIFER ROY FERRER M.A., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/10/2008
Last Update Date: 07/29/2025
Certification Date: 07/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 KINGSLEY AVENUE SUITE 1C
ORANGE PARK FL
32073
US

IV. Provider business mailing address

1409 KINGSLEY AVENUE SUITE 1C
ORANGE PARK FL
32073
US

V. Phone/Fax

Practice location:
  • Phone: 904-621-5319
  • Fax: 904-592-1059
Mailing address:
  • Phone: 904-621-5319
  • Fax: 904-592-1059

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH 9526
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: