Individual provider Active NPI

Jeannette Marie D'Amore, LMHC

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1174741243
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3916 Issued in FL
Practice address
4669 NW 2ND Ter
Boca Raton, FL 33431-4124
Phone
(561) 391-3607
Fax
(561) 391-3607
NPI assigned
Apr 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 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 MH3916 FL Primary

Addresses

Primary practice location

4669 NW 2ND Ter
Boca Raton, FL 33431-4124

Mailing address

4669 NW 2ND Ter
Boca Raton, FL 33431-4124
Phone (561) 391-3607

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
I20250214002688 FL Practitioner - Mental Health Counselor 0446780761 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Families First of Florida LLC CurrentSince Feb 12, 2025 Accepting new patients
Families First of Florida, LLC PastSince Aug 8, 2021 Accepting new patients

Locations

4902 Eisenhower Blvd
Ste 315
Tampa, FL 33634

Organizations & group practices 2

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": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174741243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4669 NW 2ND TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314124",
            "telephone_number": "561-391-3607",
            "fax_number": "561-391-3607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4669 NW 2ND TER",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314124",
            "telephone_number": "561-391-3607",
            "fax_number": "561-391-3607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'AMORE",
        "first_name": "JEANNETTE",
        "middle_name": "MARIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.