Jean Robert Celicourt Celicourt

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

11007843 Issued in FL

Practice address

1409 SW 82ND Ave
North Lauderdale, FL 33068-3512

Phone

(917) 562-9516

NPI assigned

Jul 6, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hellocare FloridaGroup PAC ID 2264840214, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: jeanrobert.celicourt@484.emedpractice.direct-ci.com

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.

• Hellocare Florida

  • Health Service Clinic/Center
  • Royal Palm Beach, FL
  • NPI 1982203196
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1164049250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1409 SW 82ND AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683512",
            "telephone_number": "917-562-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 SW 82ND AVE",
            "city": "NORTH LAUDERDALE",
            "state": "FL",
            "postal_code": "330683512",
            "telephone_number": "917-562-9516"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11903 Southern Blvd Ste 108",
            "address_purpose": "LOCATION",
            "city": "Royal Palm Beach",
            "state": "FL",
            "postal_code": "334117644",
            "country_code": "US",
            "telephone_number": "917-562-9516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CELICOURT",
        "first_name": "JEAN ROBERT",
        "middle_name": "CELICOURT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11007843",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "11007843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margarita Veronique Carre, FNP
• Oswaldo Castro, LMHC
• Celebrate Life Recovery Center Phase II
• Celebrate Life Recovery Center Phase II, LLC
• Celebrate Life Recovery Center Phase II, LLC
• Central Palm Beach Physicians & Urgent Care Inc
• Careta Chang - Lennon
• Marsha Charles
• Nitha Charles, ASPECT MEDICAL
• Tarmicha Augustine Charles

• Psychiatric/Mental Health Nurse Practitioner in North Lauderdale, FL
• Providers in North Lauderdale, FL by specialty
• Psychiatric/Mental Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.