Jill Ann Dagistino

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH21616 Issued in FL

Practice address

2350 W Yamato Rd
Boca Raton, FL 33431-8401

Phone

(561) 241-9014

NPI assigned

Sep 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1695600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1104605773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 EQUESTRIAN DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343356",
            "telephone_number": "954-816-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 W YAMATO RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334318401",
            "telephone_number": "561-241-9014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGISTINO",
        "first_name": "JILL",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-25",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH21616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dabul, DPM
• Helene Daddona
• Caroline Dadowski, AU.D.
• Nicholas John Daering, DO
• Liat Nadav Dagan, MD
• Omar Dahman, DPT
• Zachary Hunter Daily, DO
• Daju Enterprises
• Yelena Dale
• Dany Dalencourt, NP

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, 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 Sep 25, 2023; 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.