Individual provider Active NPI

Jennifyr Hammontree, MAAT

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1003294364
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1041C0700X Issued in FL
Practice address
1100 SE Federal Hwy
Stuart, FL 34994-3823
Phone
(772) 320-0770
NPI assigned
May 7, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2015

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 1041C0700X FL Primary

Addresses

Primary practice location

1100 SE Federal Hwy
Stuart, FL 34994-3823

Mailing address

3617 SW Parsons St
Port Saint Lucie, FL 34953-5028

Other names 1

  • Jennifyr Duran Professional 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
1041C0700XFLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Helping People Succeed Past Accepting new patients

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": "1430956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1003294364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 SW PARSONS ST",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SE FEDERAL HWY",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349943823",
            "telephone_number": "772-320-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMMONTREE",
        "first_name": "JENNIFYR",
        "credential": "MAAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-07",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "1041C0700X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFYR",
            "last_name": "DURAN",
            "credential": "MAAT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.