Active NPI
Jhuma Rebecca Comizio, LMHC, LPC
- Counselor
- Boca Raton, FL
National Provider Identifier
1144911033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH21899
- Practice address
- 9754 Chianti Classico Ter
Boca Raton, FL 33496-3839 - Phone
- (914) 439-3145
- NPI assigned
- May 19, 2023
- Last updated
- May 19, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | MH21899 | FL | Primary |
| Counselor | 101Y00000X | 004167 | CT |
Addresses
Primary practice location
9754 Chianti Classico Ter
Boca Raton, FL 33496-3839
Mailing address
9754 Chianti Classico Ter
Boca Raton, FL 33496-3839
Phone (914) 439-3145
Other names 1
- Rebecca Comizio
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004167 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Current | Accepting new patients |
Locations
100 Pearl St
Fl 14
Hartford, CT 06103
Phone (860) 421-6636
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
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, 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": "1684454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1144911033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9754 CHIANTI CLASSICO TER",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963839",
"telephone_number": "914-439-3145"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9754 CHIANTI CLASSICO TER",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334963839",
"telephone_number": "914-439-3145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMIZIO",
"first_name": "JHUMA",
"middle_name": "REBECCA",
"credential": "LMHC, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-19",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH21899",
"primary": true
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CT",
"license": "004167",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "COMIZIO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.