Active NPI
Jill Haire, M.A., L.M.H.C.
- Mental Health Counselor
- Orlando, FL
National Provider Identifier
1164733275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8833
- Practice address
- 4700 Millenia Lakes Blvd.
Suite 175
Orlando, FL 32839-6015 - Phone
- (407) 340-6074
- Fax
- (407) 210-3901
- NPI assigned
- Jun 24, 2010
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 222315 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 4016 | FL | |
| Mental Health Counselor | 101YM0800X | MH8833 | FL | Primary |
Addresses
Primary practice location
4700 Millenia Lakes Blvd.
Suite 175
Orlando, FL 32839-6015
Mailing address
7618 Pissarro Dr Apt 308
Orlando, FL 32819-7352
Phone (407) 340-6074
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 222315 | FL | MD | Counselor |
| 4016 | FL | MD | Addiction (Substance Use Disorder) Counselor |
| MH8833 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277337600000",
"number": "1164733275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7618 PISSARRO DR APT 308",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328197352",
"telephone_number": "407-340-6074",
"fax_number": "407-210-3901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 MILLENIA LAKES BLVD.",
"address_2": "SUITE 175",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328396015",
"telephone_number": "407-340-6074",
"fax_number": "407-210-3901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAIRE",
"first_name": "JILL",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-06-24",
"last_updated": "2010-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "222315",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "4016",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8833",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.