Individual provider Active NPI

Jhuma Rebecca Comizio, LMHC, LPC

  • Counselor
  • Boca Raton, FL
National Provider Identifier
1144911033
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH21899 Issued in FL
Practice address
9754 Chianti Classico Ter
Boca Raton, FL 33496-3839
Phone
(914) 439-3145
NPI assigned
May 19, 2023
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240611000140 FL Practitioner - Mental Health Counselor 5092257626 Reassigns benefits to 1 organization
I20240927000859 CT Practitioner - Mental Health Counselor 5092257626 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004167CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA CurrentSince May 1, 2024 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

Verify at the official NPI Registry.