Individual provider Active NPI

Jeanette O'Flaherty, LMHC, NCC, CBHCMS

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1003426198
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH24118 Issued in FL
Practice address
3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018
Phone
(954) 587-1008
Fax
(954) 208-5673
NPI assigned
Aug 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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 CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X
Mental Health Counselor 101YM0800X MH24118 FL Primary

Addresses

Primary practice location

3800 W Broward Blvd Ste 100
Fort Lauderdale, FL 33312-1018

Mailing address

4395 Puu Lani PL
Kalaheo, HI 96741-8722
Phone (786) 302-3500

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
I20251126001326 FL Practitioner - Mental Health Counselor 3779075767 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cornerstone Counseling of Palm Beach PAGroup PAC ID 9234439019, 7 clinicians

Practice addresses (Care Compare)

1201 US Hwy 1
Suite 330
North Palm Beach, FL 33408-8508
Phone (561) 472-0397

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH24118FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Counseling of Palm Beach, PA Single Specialty CurrentSince Nov 18, 2025 Accepting new patients

Locations

1201 US Highway 1
Ste 330
North Palm Beach, FL 33408
Phone (561) 472-0397

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": "1596499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1003426198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4395 PUU LANI PL",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418722",
            "telephone_number": "786-302-3500",
            "fax_number": "786-302-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 W BROWARD BLVD STE 100",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121018",
            "telephone_number": "954-587-1008",
            "fax_number": "954-208-5673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'FLAHERTY",
        "first_name": "JEANETTE",
        "name_prefix": "Mrs.",
        "credential": "LMHC, NCC, CBHCMS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH24118",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.