Individual provider Active NPI

Bernadette A Jasper, LMHC, CAP

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1174707699
Registry record updated Dec 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7836 Issued in FL
Practice address
3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312-1048
Phone
(954) 587-1008
Fax
(954) 587-0080
NPI assigned
Dec 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2007

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 MH7836 FL Primary

Addresses

Primary practice location

3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312-1048

Mailing address

3521 W Broward Blvd FL 3
Ft Lauderdale, FL 33312-1048
Phone (954) 587-1008

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

State licenses

LicenseStateTypeSpecialty
MH7836FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Orci Counseling Center Inc Current Accepting new patients

Locations

1080 S Federal Hwy
Boynton Beach, FL 33435
Phone (561) 272-2000

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1174707699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 W BROWARD BLVD FL 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121048",
            "telephone_number": "954-587-1008",
            "fax_number": "954-587-0080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 W BROWARD BLVD FL 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333121048",
            "telephone_number": "954-587-1008",
            "fax_number": "954-587-0080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "BERNADETTE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "LMHC, CAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-19",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.