Individual provider Active NPI

Jessica Michele Cordray

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1417665944
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH28127 Issued in FL
Practice address
3550 N Goldenrod Rd
Winter Park, FL 32792-8823
Phone
(407) 516-7918
NPI assigned
Nov 14, 2022
Last updated
Jul 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 MH28127 FL Primary

Addresses

Primary practice location

3550 N Goldenrod Rd
Winter Park, FL 32792-8823

Mailing address

3176 Litchfield Dr
Orange Park, FL 32065-2290
Phone (904) 814-9680

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://www.devereux.org Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1668384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1417665944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3176 LITCHFIELD DR",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320652290",
            "telephone_number": "904-814-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 N GOLDENROD RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327928823",
            "telephone_number": "407-516-7918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDRAY",
        "first_name": "JESSICA",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-14",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.devereux.org",
            "affiliation": "N",
            "endpointDescription": "Employer URL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3550 N Goldenrod Rd",
            "city": "Winter Park",
            "state": "FL",
            "country_code": "US",
            "postal_code": "327928823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.