Individual provider Active NPI

Jackeline Laguerre, MSW

  • Mental Health Counselor
  • Bronx, NY
National Provider Identifier
1003268913
Registry record updated Jul 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
141397918 Issued in NY
Practice address
3018 Kingsbridge Ave Apt 2N
Bronx, NY 10463-5107
Phone
(646) 271-0586
NPI assigned
Jul 5, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 141397918 NY Primary

Addresses

Primary practice location

3018 Kingsbridge Ave Apt 2N
Bronx, NY 10463-5107

Mailing address

3018 Kingsbridge Ave Apt 2N
Bronx, NY 10463-5107
Phone (646) 271-0586

Other identifiers 1

IdentifierTypeStateIssuer
YZ00043QMedicaidNY

Other names 1

  • Ms. Jackeline Laguerre-Nunez Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
141397918NYMDCommunity/Behavioral Health Agency

NPI Registry JSON

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1003268913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3018 KINGSBRIDGE AVE APT 2N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635107",
            "telephone_number": "646-271-0586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 KINGSBRIDGE AVE APT 2N",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104635107",
            "telephone_number": "646-271-0586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAGUERRE",
        "first_name": "JACKELINE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "141397918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "YZ00043Q",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JACKELINE",
            "last_name": "LAGUERRE-NUNEZ",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.