Healthcare Provider Details

I. General information

NPI: 1720918121
Provider Name (Legal Business Name): JESSICA A LEPINE-ELFUS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3472 NE SAVANNAH RD
JENSEN BEACH FL
34957-3758
US

IV. Provider business mailing address

4673 MEDITERRANEAN CIR
PALM BEACH GARDENS FL
33418-1002
US

V. Phone/Fax

Practice location:
  • Phone: 772-208-8388
  • Fax:
Mailing address:
  • Phone: 772-262-0019
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: