Individual provider Active NPI

Jennifer Mirabal, M.S. ED.

  • Marriage & Family Therapist
  • Orlando, FL
National Provider Identifier
1134606809
Registry record updated Nov 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Practice address
600 E Colonial Dr Ste 220
Orlando, FL 32803-4650
Phone
(407) 801-3578
NPI assigned
Jul 25, 2018
Last updated
Nov 22, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

600 E Colonial Dr Ste 220
Orlando, FL 32803-4650

Mailing address

537 One Center Blvd Apt 109
Altamonte Springs, FL 32701-2225

Other practice location 1

3400 Hunters Creek Blvd
Orlando, FL 32837-7230
Phone (352) 394-0573

Other names 1

  • Jennifer Garcia Former name

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
I20260210004397 FL Practitioner - Marriage and Family Therapist 0143709022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1003 Alabaster CV
Sanford, FL 32771-3607

600 E Colonial Dr
Suite 220
Orlando, FL 32803-4650

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heart Bonds Counseling, LLC CurrentSince Feb 1, 2026 Accepting new patients
Neumind Wellness Group LLC Past Accepting new patients

Locations

600 E Colonial Dr
Ste 220
Orlando, FL 32803
Phone (407) 504-2718

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1134606809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "537 ONE CENTER BLVD APT 109",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327012225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E COLONIAL DR STE 220",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034650",
            "telephone_number": "407-801-3578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Hunters Creek Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328377230",
            "country_code": "US",
            "telephone_number": "352-394-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIRABAL",
        "first_name": "JENNIFER",
        "credential": "M.S. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-25",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "GARCIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.