Individual provider Active NPI

Jennifer Anne MC Intyre

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1063185544
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW16004 Issued in FL
Practice address
1515 East Silver Springs Blvd
Ocala, FL 34470
Phone
(352) 732-3333
Fax
(352) 732-2469
NPI assigned
Jul 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2021

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 SW16004 FL Primary

Addresses

Primary practice location

1515 East Silver Springs Blvd
Ocala, FL 34470

Mailing address

PO Box 2854
Ocala, FL 34478-2854
Phone (352) 732-3333

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
I20210902000871 FL Practitioner - Clinical Social Worker 6103222914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aet of Central Florida of Schaeffer and Henderson, P.a.Group PAC ID 9032379466, 2 clinicians

Practice addresses (Care Compare)

1515 E Silver Springs Blvd
Suite 217
Ocala, FL 34470-6844
Phone (352) 732-3333

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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": "1627516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1063185544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2854",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344782854",
            "telephone_number": "352-732-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 EAST SILVER SPRINGS BLVD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34470",
            "telephone_number": "352-732-3333",
            "fax_number": "352-732-2469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MC INTYRE",
        "first_name": "JENNIFER",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-29",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW16004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

Verify at the official NPI Registry.