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Samuel Sprinkle

Behavior Analyst β€’ Jacksonville, FL

Active NPI 1306312624 Individual Practitioner Male Practitioner
Practice location in NPPES

12724 Gran Bay Pkwy W Ste 410
Jacksonville, FL 322589486

Call 7409359240 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

12724 Gran Bay Pkwy W Ste 410

Jacksonville, FL 322589486

Telephone 7409359240
Fax 7405290385
Organization at the Same NPPES Address or Phone
Living In Hope Counseling, Llc Facility NPI 1356797567

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Jacksonville and Florida

487 active clinicians are listed under Behavior Analyst with a practice address in Jacksonville, FL (13,581 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 487 clinicians have the CMS telehealth indicator.

0% of these 487 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2023-03-20
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

License # reported to NPPES FL 1-22-60251

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Nikki Denson Strong , APRN

Nurse Practitioner - Psychiatric/Mental Health

NPI 1538636147

Advanced Practice Registered Nurse

Sandra Jordan

Nurse Practitioner - Family

NPI 1487151452
Dr. Daniela Kloos , MD

Internal Medicine

NPI 1427491414

Doctor of Medicine (M.D.)

Dr. Carolyn Mcclinton , DNP PMHNP-BC, FNP-C

Nurse Practitioner - Psychiatric/Mental Health

NPI 1407259476

DNPPMHNPBC, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

15 Historical Events
πŸ“
Updated Practice Location March 20, 2023

Registered at 12724 GRAN BAY PKWY W STE 410, JACKSONVILLE, FL 322589486 (Tel: 7409359240)

πŸ“
Updated Business Mailing Address March 20, 2023

Registered at 2325 MYRA ST APT 2, JACKSONVILLE, FL 322043630 (Tel: 7409359240)

πŸ‘€
Provider Name / Credentials Updated March 20, 2023

Recorded as SAMUEL SPRINKLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2023

Behavior Analyst (license number reported to NPPES: FL 1-22-60251)

πŸ”„
NPI Profile Reactivated March 14, 2023

Record officially reactivated for active practice on March 14, 2023

⚠️
NPI Profile Deactivated March 08, 2023

NPPES lists this NPI as deactivated as of March 08, 2023; the reason is not published.

πŸ“
Updated Practice Location November 18, 2022

Registered at 7226 HICKORY HILLS DR, ASHLAND, KY 411029709 (Tel: 6063713954)

πŸ“
Updated Business Mailing Address November 18, 2022

Registered at PO BOX 212, PORTSMOUTH, OH 456620212 (Tel: 6063713954)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) November 18, 2022

Behavior Analyst (license number reported to NPPES: OH COBA.01075)

βœ…
NPI Profile Active October 15, 2018

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 15, 2018

Registered at 104 S FRONT AVE, PRESTONSBURG, KY 416531614 (Tel: 6068868572)

πŸ“
Business Mailing Address (Initial Record) October 15, 2018

Registered at 104 S FRONT AVE, PRESTONSBURG, KY 416531614 (Tel: 6068868572)

πŸ‘€
Provider Name / Credentials (Initial Record) October 15, 2018

Recorded as SAMUEL SPRINKLE

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 15, 2018

Counselor

🟒
Initial NPI Registration & Enumeration October 15, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1306312624
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 15, 2018
Last Update: March 20, 2023
Sole Proprietor: No

Mailing Address

2325 Myra St Apt 2

Jacksonville, FL 322043630

Phone: 7409359240

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.