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Jo Cisco , LMHC

Case Manager/Care Coordinator β€’ Middleburg, FL

Active NPI 1881743862 Individual Practitioner Female Practitioner
Practice location in NPPES

3292 County Road 220
Middleburg, FL 320684357

Call 9042915561 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

3292 County Road 220

Middleburg, FL 320684357

Telephone 9042915561
Fax 9042785659
Organization at the Same NPPES Address or Phone
Clay Behavioral Health Center, Inc. Facility NPI 1720089782

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

NPI first issued

2007

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 Middleburg and Florida

7 active clinicians are listed under Case Manager/Care Coordinator with a practice address in Middleburg, FL (4,952 in Florida).

Addresses are self-reported to NPPES and may be out of date.

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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Mental Health

NUCC Taxonomy Code: 101YM0800X

License # reported to NPPES FL MH5101
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

Additional State Medicaid & Healthcare Payer Identifiers

Other Identifier Bluecross
Z9156 (FL)

Clinicians Sharing This Practice Address or Phone

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

5 listed
Andrea Cutler , NP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1689889180

Nurse Practitioner

Dr. Alexander Fariborzian , MD

Psychiatry & Neurology - Psychiatry

NPI 1710045539

Doctor of Medicine (M.D.)

Melodie Miller , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1699891028

Advanced Registered Nurse Practitioner

Erin Rollins

Counselor - Mental Health

NPI 1336731488
Michelle Sullivan , ARNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134677842

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 11, 2025

Case Manager/Care Coordinator

βœ…
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) July 08, 2007

Registered at 3292 COUNTY ROAD 220, MIDDLEBURG, FL 320684357 (Tel: 9042915561)

πŸ“
Business Mailing Address (Initial Record) July 08, 2007

Registered at 1726 KINGSLEY AVE STE 2, ORANGE PARK, FL 320734411 (Tel: 9042785644)

πŸ‘€
Provider Name / Credentials (Initial Record) July 08, 2007

Recorded as JO CISCO, LMHC

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Counselor (license number reported to NPPES: FL MH5101)

🟒
Initial NPI Registration & Enumeration January 09, 2007

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1881743862
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 09, 2007
Last Update: September 11, 2025
Sole Proprietor: No

Mailing Address

1726 Kingsley Ave Ste 2

Orange Park, FL 320734411

Phone: 9042785644

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.