Geraldine Claudette Darrell

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15023 Issued in FL

Practice address

2911 SE 12TH Rd Unit 205
Homestead, FL 33035-2372

Phone

(305) 586-9954

NPI assigned

Nov 21, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1668988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1285343954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2911 SE 12TH RD UNIT 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352372",
            "telephone_number": "305-586-9954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 SE 12TH RD UNIT 205",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330352372",
            "telephone_number": "305-586-9954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARRELL",
        "first_name": "GERALDINE",
        "middle_name": "CLAUDETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "betterhelp.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2911 SE 12th Rd Unit 205",
            "city": "Homestead",
            "state": "FL",
            "country_code": "US",
            "postal_code": "330352372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Jennifer Allison Davis Polanco, OTR/L
• Adrienne Honora Clarice Davis, APRN

• Mental Health Counselor in Homestead, FL
• Providers in Homestead, 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 21, 2022; 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.