MEDICARE: JESSICA TERMINI LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	XL5099	ME
2	101YM0800X	Mental Health Counselor	24784	FL

General Provider Information

NPI Number	:	1225473085
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA TERMINI LMHC

Provider Business Mailing Address
First Line	:	122 4TH AVE # 200
Second Line	:
City	:	INDIALANTIC
State	:	FL
Zip	:	32903-3112
Country	:	US
Telephone Number	:	321-327-3793
Fax Number	:

Provider Business Practice Location Address
First Line	:	122 4TH AVE # 200
Second Line	:
City	:	INDIALANTIC
State	:	FL
Zip	:	32903-3112
Country	:	US
Telephone Number	:	321-327-3793
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/07/2013
Last Update Date	:	07/07/2025

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Directions to “ JESSICA TERMINI LMHC” Practice Location

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