Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Matthew Sheridan

Individual provider Counselor · NPI 1649973116

Matthew Sheridan is a Mental Health Counselor in Jacksonville, Florida. Qualified in 2019, 7 years ago. Practices with Raul J Rodriguez Mdpa, a 20-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Florida.

Years since qualifying
7
Licensed in
FL
In the registry since
2023
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Practice location Address checks out

12443 San Jose Blvd Ste 604
Jacksonville, FL 32223-8652
Phone: (904) 944-4625
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence MH21863 (FL)

Record details

NPI number1649973116
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 23, 2023
Last updated in NPPESJanuary 25, 2024
Certification dateJanuary 25, 2024
Mailing address2120 Herschel St Apt A, Jacksonville, FL 32204-3879

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Raul J Rodriguez Mdpa — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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