Lyndia Jacques

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18773 Issued in FL

Practice address

7971 Riviera Blvd Ste 407
Miramar, FL 33023-6450

Phone

(305) 479-3060

NPI assigned

Mar 30, 2021

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

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": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1326626417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19821 NW 2ND AVE STE 157",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331693341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7971 RIVIERA BLVD STE 407",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330236450",
            "telephone_number": "305-479-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "LYNDIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omari Jackson
• Emmanuel P Jacob, M.D.
• Lutina Jacob
• Carline Jacques, APRN
• Lunie Jacques
• Voltaire Jagdon
• Suryanarayan Jairaj, MD
• Jakson Eyecare Inc
• Fredeline Jamero, AGNP
• Cheryl Marie James, CNA

• Mental Health Counselor in Miramar, FL
• Providers in Miramar, 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 Mar 30, 2021; 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.