Individual provider Active NPI

Jennifer Lovell, MA

  • Developmental Therapist
  • Melbourne, FL
National Provider Identifier
1003291030
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental TherapistTaxonomy code 222Q00000X
Practice address
3345 Delaney Dr Apt 101
Melbourne, FL 32934-7503
Phone
(321) 557-1888
NPI assigned
Jul 20, 2015
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Developmental Therapist 222Q00000X Primary

Addresses

Primary practice location

3345 Delaney Dr Apt 101
Melbourne, FL 32934-7503

Mailing address

3345 Delaney Dr Apt 101
Melbourne, FL 32934-7503
Phone (321) 557-1888

Other practice location 1

2479 Aloma Ave
Winter Park, FL 32792-2541
Phone (407) 657-6692

Other practice location 2

1009 Maitland Center Commons Blvd
212
Maitland, FL 32751-7270
Phone (321) 749-3333

Other practice location 3

3345 Delaney Dr Apt 101
Melbourne, FL 32934-7503
Phone (321) 557-1888

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
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1003291030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3345 DELANEY DR APT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347503",
            "telephone_number": "321-557-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3345 DELANEY DR APT 101",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329347503",
            "telephone_number": "321-557-1888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2479 Aloma Ave",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "FL",
            "postal_code": "327922541",
            "country_code": "US",
            "telephone_number": "407-657-6692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1009 Maitland Center Commons Blvd",
            "address_2": "212",
            "address_purpose": "LOCATION",
            "city": "Maitland",
            "state": "FL",
            "postal_code": "327517270",
            "country_code": "US",
            "telephone_number": "321-749-3333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3345 Delaney Dr Apt 101",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329347503",
            "country_code": "US",
            "telephone_number": "321-557-1888",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOVELL",
        "first_name": "JENNIFER",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-20",
        "last_updated": "2022-08-10",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; 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.