Individual provider Active NPI

Jacqueline Cagney, LMFT

  • Marriage & Family Therapist
  • Coral Springs, FL
National Provider Identifier
1225026644
Registry record updated Jan 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT0001579 Issued in FL
Practice address
5571 N University Dr #101
Coral Springs, FL 33067
Phone
(954) 544-4991
Fax
(954) 544-4992
NPI assigned
Oct 10, 2005
Last updated
Jan 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1589 FL
Mental Health Counselor 101YM0800X MT1579 FL
Marriage & Family Therapist 106H00000X MT1579 FL
Marriage & Family Therapist 106H00000X MT0001579 FL Primary

Addresses

Primary practice location

5571 N University Dr #101
Coral Springs, FL 33067

Mailing address

5571 N University Dr #101
Coral Springs, FL 33067
Phone (954) 544-4991

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
I20240126002766 FL Practitioner - Marriage and Family Therapist 1850744749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5571 N University Dr
Suite 101
Coral Springs, FL 33067-4653
Phone (954) 544-4991

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1589FLMDAddiction (Substance Use Disorder) Counselor
MT0001579FLMDMarriage & Family Therapist
MT1579FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeline Counseling Center, Inc Mental Health CurrentSince Jan 23, 2024 Accepting new patients
Behavioral Pathways Current Accepting new patients
Lifeline Counseling Center Marriage & Family Therapist Past Accepting new patients

Locations

5571 N University Dr
Ste 101
Coral Springs, FL 33067
Phone (305) 439-0085

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1128902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1225026644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5571 N UNIVERSITY DR #101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-544-4991",
            "fax_number": "954-544-4992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5571 N UNIVERSITY DR #101",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "33067",
            "telephone_number": "954-544-4991",
            "fax_number": "954-544-4992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAGNEY",
        "first_name": "JACQUELINE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-10",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1589",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT1579",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1579",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0001579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.