Jessica Jean Cardoza, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2139 W State Road 434 Ste 102
Longwood, FL 32779-5019

Phone

(407) 325-4726

Fax

(407) 612-2359

NPI assigned

Feb 18, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

Practice roles

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.

• A Core Connection Services and Consulting, LLC

  • Community/Behavioral Health Agency
  • Longwood, FL
  • NPI 1801371299

  Behavior Analyst

  NPD (past)

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1023358702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2139 W STATE ROAD 434 STE 102",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795019",
            "telephone_number": "407-325-4726",
            "fax_number": "407-612-2359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2139 W STATE ROAD 434 STE 102",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327795019",
            "telephone_number": "407-325-4726",
            "fax_number": "407-612-2359"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2884 S Osceola Ave",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328065431",
            "country_code": "US",
            "telephone_number": "407-789-2673",
            "fax_number": "407-612-2359",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2135 W State Road 434",
            "address_purpose": "LOCATION",
            "city": "Longwood",
            "state": "FL",
            "postal_code": "327794983",
            "country_code": "US",
            "telephone_number": "407-789-2673",
            "fax_number": "407-612-2359",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDOZA",
        "first_name": "JESSICA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116426900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019191200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cannizzaro Integrative Pediatric Center
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• Cara L Wiewiora DMD MSD PA
• Andrea Valentina Carcamo Ramos
• Care Mobility Services LLC
• Care Options, Inc.
• Christopher Clayton Carey
• Hannah Rose Carlson, BEHAVIOR TECHNICIAN
• Marquette Tashon Carmichael

• Mental Health Counselor in Longwood, FL
• Providers in Longwood, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.