Active NPI
Lunie Jacques
- Mental Health Counselor
- Miramar, FL
National Provider Identifier
1356775571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH23151
- Practice address
- 2248 SW 118TH Ave
Miramar, FL 33025-5654 - Phone
- (786) 803-9304
- NPI assigned
- Aug 23, 2013
- 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 | MH23151 | FL | Primary |
Addresses
Primary practice location
2248 SW 118TH Ave
Miramar, FL 33025-5654
Mailing address
2248 SW 118TH Ave
Miramar, FL 33025-5654
Phone (786) 803-9304
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH23151 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A New Beginning Behavioral Services, Inc | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1356775571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2248 SW 118TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255654",
"telephone_number": "786-803-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2248 SW 118TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330255654",
"telephone_number": "786-803-9304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACQUES",
"first_name": "LUNIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-08-23",
"last_updated": "2024-08-19",
"certification_date": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH23151",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.