Active NPI
Jennifer Pierre-Lys, LMHC
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1003466400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH17376
- Practice address
- 1703 W Colonial Dr
Orlando, FL 32804-7000 - Phone
- (407) 219-9304
- NPI assigned
- Sep 17, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH17376 | FL | Primary |
Addresses
Primary practice location
1703 W Colonial Dr
Orlando, FL 32804-7000
Mailing address
3170 S Dorchester Dr
Deltona, FL 32738-2573
Phone (407) 353-2728
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH17376 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1568678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568678400000",
"number": "1003466400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 S DORCHESTER DR",
"city": "DELTONA",
"state": "FL",
"postal_code": "327382573",
"telephone_number": "407-353-2728"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1703 W COLONIAL DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328047000",
"telephone_number": "407-219-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIERRE-LYS",
"first_name": "JENNIFER",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-17",
"last_updated": "2019-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH17376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.