Debora Dejesus

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH6847 Issued in FL

Legal business name

DEBORA DEJESUS

Practice address

1000 Park Centre Blvd
Ste# 138
Miami Gardens, FL 33169-5373

Phone

(305) 948-9000

Fax

(786) 999-0700

NPI assigned

Aug 10, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Debora Dejesus, LMHC

Title

LMHC

Phone

(786) 439-8158

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1376858738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "STE# 138",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-948-9000",
            "fax_number": "786-999-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PARK CENTRE BLVD",
            "address_2": "STE# 138",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695373",
            "telephone_number": "305-948-9000",
            "fax_number": "786-999-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBORA DEJESUS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "DEJESUS",
        "authorized_official_first_name": "DEBORA",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "786-439-8158",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH6847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Miami Gardens, FL
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.