Farah Jolicoeur, ITDS

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

7109 Via Leonardo
Lake Worth, FL 33467-5236

Phone

(561) 420-3608

Fax

(561) 963-7474

NPI assigned

May 1, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1437370186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7109 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-420-3608",
            "fax_number": "561-963-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7109 VIA LEONARDO",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334675236",
            "telephone_number": "561-420-3608",
            "fax_number": "561-963-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOLICOEUR",
        "first_name": "FARAH",
        "name_prefix": "Mrs.",
        "credential": "ITDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primrose D Johnson, MSW
• Samantha Leigh Johnson, LMHC
• Victoria Johnson, PN1276041, 84847
• Leslie Kate Johnston, PTA
• Edith Yaquelin Jolek
• Jonathan Adult Home Care LLC
• Kiara Jones, LCSW
• Melanie Kathleen Jones, ARNP
• Petra Jones, LMT
• Michael Josaphat

• Developmental Therapist in Lake Worth, FL
• Providers in Lake Worth, FL by specialty
• Developmental Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; 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.