Organization Active NPI

JCR Counseling Services, Inc.

  • Clinical Social Worker
  • Pembroke Pines, FL
National Provider Identifier
1205981065
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 4410 Issued in FL
Legal business name
JCR COUNSELING SERVICES, INC.
Practice address
269 N University Dr
Suite G
Pembroke Pines, FL 33024-6715
Phone
(954) 322-0538
Fax
(954) 322-9897
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Juanita Sabrina Conner-Raines, LCSWNPI 1366597106
Title
Owner, President
Phone
(954) 322-0538

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X SW 4410 FL Primary

Addresses

Primary practice location

269 N University Dr
Suite G
Pembroke Pines, FL 33024-6715

Mailing address

PO Box 246464
Pembroke Pines, FL 33024-0124
Phone (954) 322-0538

National Provider Directory

National Provider Directory

Locations

269 N University Dr
Ste G
Pembroke Pines, FL 33024
Phone (954) 322-0538

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1205981065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 246464",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330240124",
            "telephone_number": "954-322-0538",
            "fax_number": "954-322-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "269 N UNIVERSITY DR",
            "address_2": "SUITE G",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330246715",
            "telephone_number": "954-322-0538",
            "fax_number": "954-322-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JCR COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNER-RAINES",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_middle_name": "SABRINA",
        "authorized_official_title_or_position": "OWNER, PRESIDENT",
        "authorized_official_telephone_number": "954-322-0538",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 4410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pembroke Pines, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.