Individual provider Active NPI

Jennifer Ortiz Correa, MS, LMHC

  • Mental Health Counselor
  • Ocala, FL
National Provider Identifier
1407159122
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14292 Issued in FL
Practice address
2335 NW 10TH St
Unit 102
Ocala, FL 34475-5348
Phone
(352) 301-7902
Fax
(352) 354-9191
NPI assigned
Dec 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH14292 FL Primary

Addresses

Primary practice location

2335 NW 10TH St
Unit 102
Ocala, FL 34475-5348

Mailing address

2335 NW 10TH St
Unit 102
Ocala, FL 34475-5348
Phone (352) 301-7902

Other names 1

  • Jennifer Ortiz Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH14292FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1407159122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 NW 10TH ST",
            "address_2": "UNIT 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755348",
            "telephone_number": "352-301-7902",
            "fax_number": "352-354-9191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 NW 10TH ST",
            "address_2": "UNIT 102",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344755348",
            "telephone_number": "352-301-7902",
            "fax_number": "352-354-9191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORREA",
        "first_name": "JENNIFER",
        "middle_name": "ORTIZ",
        "credential": "MS, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-20",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "ORTIZ",
            "credential": "MS, IMH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.