Active NPI
Myralda Jerome, LMHC
- Mental Health Counselor
- Port St Lucie, FL
National Provider Identifier
1235687369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH19806
- Practice address
- 2100 SE Hillmoor Dr Ste 201
Port St Lucie, FL 34952-8057 - Phone
- (561) 908-1336
- NPI assigned
- Sep 19, 2016
- Last updated
- Dec 10, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH19806 | FL | Primary |
Addresses
Primary practice location
2100 SE Hillmoor Dr Ste 201
Port St Lucie, FL 34952-8057
Mailing address
1205 SW Emerald Ave
Port Saint Lucie, FL 34953-4810
Phone (561) 908-1336
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260430000310 | FL | Practitioner - Mental Health Counselor | 4385111038 | Practice locations: Port St Lucie, FL |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1205 SW Emerald Ave
Port St Lucie, FL 34953-4810
2100 SE Hillmoor Dr
Suite 201
Port St Lucie, FL 34952-8057
Phone (561) 908-1336
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH19806 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765324800000",
"number": "1235687369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1205 SW EMERALD AVE",
"city": "PORT SAINT LUCIE",
"state": "FL",
"postal_code": "349534810",
"telephone_number": "561-908-1336"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 SE HILLMOOR DR STE 201",
"city": "PORT ST LUCIE",
"state": "FL",
"postal_code": "349528057",
"telephone_number": "561-908-1336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEROME",
"first_name": "MYRALDA",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-19",
"last_updated": "2025-12-10",
"certification_date": "2025-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH19806",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port St Lucie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.