Individual provider Active NPI

Jean-Mary Monval

  • Mental Health Counselor
  • Fort Pierce, FL
National Provider Identifier
1003224338
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone
(772) 242-1079
Fax
(772) 242-1296
NPI assigned
Jul 30, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795

Mailing address

2011 S 25TH St Ste 108
Fort Pierce, FL 34947-4795
Phone (772) 242-1079

Other identifiers 2

IdentifierTypeStateIssuer
020753600MedicaidFL
112887600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240314001749 FL Practitioner - Mental Health Counselor 1850734575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2011 S 25TH St
Suite 108
Fort Pierce, FL 34947-4795
Phone (772) 242-1079

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Youth & Family Behavioral Health Center, Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

2011 S 25th St
Ste 108
Fort Pierce, FL 34947
Phone (772) 242-1079

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1003224338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 S 25TH ST STE 108",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349474795",
            "telephone_number": "772-242-1079",
            "fax_number": "772-242-1296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONVAL",
        "first_name": "JEAN-MARY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-30",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "020753600",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "112887600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.