Individual provider Active NPI

Jessica Fruggiero, LMHC

  • Mental Health Counselor
  • Pembroke Pines, FL
National Provider Identifier
1174156301
Registry record updated Feb 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17693 Issued in FL
Practice address
2250 Pembroke Falls Blvd
Pembroke Pines, FL 33028-2586
Phone
(954) 519-2606
NPI assigned
Feb 17, 2020
Last updated
Feb 17, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH17693 FL Primary

Addresses

Primary practice location

2250 Pembroke Falls Blvd
Pembroke Pines, FL 33028-2586

Mailing address

2250 Pembroke Falls Blvd
Pembroke Pines, FL 33028-2586
Phone (954) 830-1850

Other identifiers 1

IdentifierTypeStateIssuer
83-3511808OtherFLCOMMERICAL

Other names 1

  • Jessica Fruggiero, Ms, Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@fcsmentalhealth.com Direct

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
I20250902001732 FL Practitioner - Mental Health Counselor 6305347212 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1721 NW 11TH Ave
Homestead, FL 33030-2943

17384 SW 7TH St
Pembroke Pines, FL 33029-4200

1773 NW 19TH St
Homestead, FL 33030-2837

640 W Palm Dr
Suite C
Homestead, FL 33034-3237

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Astro Health and Rehab Center LLC CurrentSince Nov 20, 2025 Accepting new patients
Fruggiero Counseling Services, LLC Mental Health CurrentSince Aug 8, 2025 Accepting new patients

Locations

261 Westward Dr
Ste 108109
Miami Springs, FL 33166
Phone (305) 200-5176

Organizations & group practices 4

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": "1581897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581897600000",
    "number": "1174156301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2250 PEMBROKE FALLS BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-830-1850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 PEMBROKE FALLS BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330282586",
            "telephone_number": "954-519-2606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRUGGIERO",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-17",
        "last_updated": "2020-02-17",
        "certification_date": "2020-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERICAL",
            "identifier": "83-3511808",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@fcsmentalhealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2250 Pembroke Falls Blvd",
            "city": "Pembroke Pines",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330282586",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MS,",
            "middle_name": "FRUGGIERO,",
            "credential": "LMHC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pembroke Pines, FL

Sources for this page

Verify at the official NPI Registry.