Jeffrey Glenn Jabick, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH5458 Issued in FL

Practice address

7372 NW 5TH St
Plantation, FL 33317-1605

Phone

(954) 424-6119

Fax

(954) 585-0177

NPI assigned

Jan 10, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205986684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9715 W BROWARD BLVD # 148",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242351",
            "telephone_number": "954-424-6119",
            "fax_number": "954-585-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7372 NW 5TH ST",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333171605",
            "telephone_number": "954-424-6119",
            "fax_number": "954-585-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JABICK",
        "first_name": "JEFFREY",
        "middle_name": "GLENN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mara Sahil Izquierdo, FNP
• J & J Wellness of Plantation, Inc
• J Harold Stanley MD PA
• J. Michael Forrest MD PA
• Jabal Uffelman, MD PA
• Jacaranda Dental
• Allison Jackowitz
• Aja Jackson, RRT
• Clarence Jackson
• Janet Jackson

• Mental Health Counselor in Plantation, FL
• Providers in Plantation, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.