Jessica Lee McIntyre

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14333 Issued in FL

Practice address

841 Jimmy Ann Dr
Daytona Beach, FL 32117-4583

Phone

(386) 425-3900

Fax

(386) 274-4140

NPI assigned

Mar 12, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Lane Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541548800000",
    "number": "1184965485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "841 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174583",
            "telephone_number": "386-425-3900",
            "fax_number": "386-274-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 JIMMY ANN DR",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321174583",
            "telephone_number": "386-425-3900",
            "fax_number": "386-274-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCINTYRE",
        "first_name": "JESSICA",
        "middle_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-12",
        "last_updated": "2018-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "LANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jaye McGrane, LPN
• Judy Christensen McGrath, LMHC
• Suzanne Mary McGregor, SLP
• Jazmin Y McGuire, C.N.A.
• Mallory Anne McInnes, M.D.
• Linda McIver, CRNP
• Mindy M McKee
• Lucy B McKinniss, D.C.
• Stacey McKinnon
• Kathleen McLaughlin, ARNP

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2018; 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.