Individual provider Active NPI

Heidi E Jameson, MS, LMHC

  • Mental Health Counselor
  • Clewiston, FL
National Provider Identifier
1003669771
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23591 Issued in FL
Practice address
148 Oak Dr
Clewiston, FL 33440-9417
Phone
(863) 268-5802
NPI assigned
Apr 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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 MH23591 FL Primary

Addresses

Primary practice location

148 Oak Dr
Clewiston, FL 33440-9417

Mailing address

148 Oak Dr
Clewiston, FL 33440-9417
Phone (863) 268-5802

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
I20240818000000 FL Practitioner - Mental Health Counselor 9234677519

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Florida PA CurrentSince Jul 1, 2024 Accepting new patients
The Mangroves Seeds of Change, LLC CurrentSince May 7, 2024 Accepting new patients

Organizations & group practices 2

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1003669771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 OAK DR",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334409417",
            "telephone_number": "863-268-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 OAK DR",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334409417",
            "telephone_number": "863-268-5802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMESON",
        "first_name": "HEIDI",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

Verify at the official NPI Registry.