Individual Healthcare Provider
Philip David Justice
Provider's NPPES record last updated: January 28, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1023611621
- Primary Specialty
- Marriage & Family Therapist
- Practice Location
- Jacksonville, Florida
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 3:32 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Marriage & Family Therapist
Behavioral Health & Social Service Providers
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Taxonomy code 106H00000X
Provider-Reported License Information
- Marriage & Family Therapist (Florida)
- MT4409
Practice Locations
Practice Location
6251 Philips Hwy Ste 4
Jacksonville, Florida 32216-6067
Phone: (904) 256-4904
Additional Practice Location
30 Ardisia Ln
Saint Johns, Florida 32259-3881
Phone: (904) 376-3800
Record Information
- Enumeration Date
- November 17, 2020
- Provider's NPPES Record Last Updated
- January 28, 2025
- Certification Date
- January 28, 2025
- NPISignal NPPES Dataset
- August 2026
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