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1821266479 NPI number — JENNIFER MAE ESTRADA LMHC

NPI Number: 1821266479
Health Care Provider/Practitioner: JENNIFER MAE ESTRADA LMHC

Information about “1821266479” NPI (JENNIFER MAE ESTRADA LMHC) exists in 1821266479 in HTML format HTML  |  1821266479 in plain Text format TXT  |  1821266479 in PDF (Portable Document Format) PDF  |  1821266479 in an XML format XML  formats.

NPI Number : 1821266479 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1821266479",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "ESTRADA",
    "FirstName": "JENNIFER",
    "MiddleName": "MAE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMHC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3500 GEORGIA AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WEST PALM BEACH",
    "MailingAddressStateName": "FL",
    "MailingAddressPostalCode": "33405-1833",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "561-667-5231",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "2393 S CONGRESS AVE STE 211",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PALM SPRINGS",
    "PracticeLocationAddressStateName": "FL",
    "PracticeLocationAddressPostalCode": "33406-7628",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "561-320-2104",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/18/2008",
    "LastUpdateDate": "12/18/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH9160",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "MH 9160",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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