Individual provider Active NPI

Jacqueline Senecal, M.PSYCH., LMHC

  • Mental Health Counselor
  • Vero Beach, FL
National Provider Identifier
1376288696
Registry record updated Nov 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH23285 Issued in FL
Practice address
3723 10TH CT
Vero Beach, FL 32960-6559
Phone
(772) 492-3427
Fax
(772) 925-8194
NPI assigned
May 2, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 17, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X MH23285 FL
Mental Health Occupational Therapist 225XM0800X MH23285 FL
Mental Health Counselor 101YM0800X MH23285 FL Primary

Addresses

Primary practice location

3723 10TH CT
Vero Beach, FL 32960-6559

Mailing address

827 18TH St
Vero Beach, FL 32960-6481
Phone (772) 925-8200

Other practice location 1

725 N US Highway 1
Fort Pierce, FL 34950-9125
Phone (772) 252-4014

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240419001291 FL Practitioner - Mental Health Counselor 7618316928 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Whole Family Health Center IncGroup PAC ID 5496641169, 28 clinicians

Practice addresses (Care Compare)

3723 10TH CT
Vero Beach, FL 32960-6559
Phone (772) 492-3427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH23285FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Whole Family Health Center, Inc. Current Accepting new patients
Whole Family Health Center, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Whole Family Health Center, Inc. CurrentSince Apr 8, 2024 Accepting new patients
Whole Family Health Center, Inc. Past Accepting new patients

Locations

725 N US Highway 1
Fort Pierce, FL 34950
Phone (772) 468-9900

827 18th St
Vero Beach, FL 32960
Phone (772) 925-8190

3723 10th Ct
Vero Beach, FL 32960
Phone (772) 492-3427

981 37th Pl
Vero Beach, FL 32960
Phone (772) 257-5785

Organizations & group practices 7

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731801600000",
    "number": "1376288696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 18TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606481",
            "telephone_number": "772-925-8200",
            "fax_number": "772-925-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3723 10TH CT",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606559",
            "telephone_number": "772-492-3427",
            "fax_number": "772-925-8194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "725 N US Highway 1",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349509125",
            "country_code": "US",
            "telephone_number": "772-252-4014",
            "fax_number": "772-999-5577",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SENECAL",
        "first_name": "JACQUELINE",
        "credential": "M.PSYCH., LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2024-11-17",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH23285",
            "primary": false
        },
        {
            "code": "225XM0800X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Mental Health",
            "state": "FL",
            "license": "MH23285",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH23285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.