Jacqueline Anne Maple, LMHC, MCAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16368 Issued in FL

Practice address

827 Toluca St SE
Palm Bay, FL 32909-7420

Phone

(321) 272-1371

NPI assigned

Jul 17, 2017

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

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Balanced Wellbeing LLCGroup PAC ID 5193021848, 228 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network

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.

• Balanced Wellbeing LLC

  • Psychiatry Physician
  • Ocala, FL
  • NPI 1336513639
  Medicare reassignment Care Compare group NPD
• Brave Health Inc.

  • Community/Behavioral Health Agency
  • Miami, FL
  • NPI 1821588674
  Medicare reassignment NPD
• MCR Health, Inc.

  • Federally Qualified Health Center (FQHC)
  • Parrish, FL
  • NPI 1255376000
  Medicare reassignment NPD
• Happyville Counseling LLC

  • Community/Behavioral Health Agency
  • Palm Bay, FL
  • NPI 1487265260
  NPD Authorized official
• MCR Health, Inc.

  • Non-Pharmacy Dispensing Site
  • Bradenton, FL
  • NPI 1821878745
  NPD
• Alyssa Buchanan, LLC

  • Clinical Social Worker
  • West Melbourne, FL
  • NPI 1487194817

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1356863823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 TOLUCA ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097420",
            "telephone_number": "321-272-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "827 TOLUCA ST SE",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329097420",
            "telephone_number": "321-272-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPLE",
        "first_name": "JACQUELINE",
        "middle_name": "ANNE",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-17",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL CERTIFICATION BOARD",
            "identifier": "MCAP100566",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL DOH",
            "identifier": "MH16368",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hani M Malak
• Clayton Malinich
• Gabrielle Sarah Maloney
• Stacey Ann Manderson
• Kasim Manzur, DMD
• Jennifer Marchionni, RBT
• Marigold Care Facility LLC
• Shavonne Mariscal
• Marjorie Doreen Thompson
• Flavia Marques Campoy, FNP-C

• Mental Health Counselor in Palm Bay, FL
• Providers in Palm Bay, 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 Sep 3, 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.

Verify at the official NPI Registry.