Active NPI
Jo Myrtho Jean-Charles, LMHC
- Mental Health Counselor
- Plantation, FL
National Provider Identifier
1053435206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8948
- Practice address
- 950 S Pine Island Rd
Suite A150
Plantation, FL 33324-3918 - Phone
- (954) 632-1983
- NPI assigned
- Mar 16, 2007
- 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 | MH8948 | FL | Primary |
Addresses
Primary practice location
950 S Pine Island Rd
Suite A150
Plantation, FL 33324-3918
Mailing address
950 S Pine Island Rd Ste 150a
Plantation, FL 33324-3918
Phone (954) 632-1983
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 768215800 | Medicaid | FL |
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 |
|---|---|---|---|
| MH8948 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429920000000",
"number": "1053435206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S PINE ISLAND RD STE 150A",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243918",
"telephone_number": "954-632-1983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "950 S PINE ISLAND RD",
"address_2": "SUITE A150",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333243918",
"telephone_number": "954-632-1983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEAN-CHARLES",
"first_name": "JO",
"middle_name": "MYRTHO",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-16",
"last_updated": "2015-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8948",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "768215800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.