Organization Active NPI

Jenah Habermehl, PLLC

  • Mental Health Counselor
  • Stuart, FL
National Provider Identifier
1336829100
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JENAH HABERMEHL, PLLC
Practice address
615 SW Saint Lucie Cres Ste 107
Stuart, FL 34994-2860
Phone
(772) 631-2314
NPI assigned
Jul 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Authorized official

Name
Mrs. Jenah Habermehl, LMHCNPI 1326709007
Title
Psychotherapist
Phone
(772) 631-2314

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

615 SW Saint Lucie Cres Ste 107
Stuart, FL 34994-2860

Mailing address

615 SW Saint Lucie Cres Ste 107
Stuart, FL 34994-2860
Phone (772) 631-2314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240116001047 FL Part B Supplier - Clinic/Group Practice 0143672162 Receives reassigned benefits from 1 practitioner
Practice locations: Stuart, FL

National Provider Directory

National Provider Directory

Locations

615 SW Saint Lucie Cres
Ste 107
Stuart, FL 34994
Phone (772) 631-2314

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707782400000",
    "number": "1336829100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 SW SAINT LUCIE CRES STE 107",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942860",
            "telephone_number": "772-631-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 SW SAINT LUCIE CRES STE 107",
            "city": "STUART",
            "state": "FL",
            "postal_code": "349942860",
            "telephone_number": "772-631-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENAH HABERMEHL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-18",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A",
        "authorized_official_last_name": "HABERMEHL",
        "authorized_official_first_name": "JENAH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "772-631-2314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stuart, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.