Jeri Devale, PH.D

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT1779 Issued in FL

Practice address

6241 43Rd Ter N
Kenneth City, FL 33709

Phone

(727) 374-3092

Fax

(727) 374-9819

NPI assigned

Apr 25, 2012

Last updated

Sep 1, 2026By the provider in NPPES

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

Other identifiers 1

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

Specialty

Marriage and Family Therapist

Education

Other, 1967

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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  • NPI 1801472634

  FL

  Medicare reassignment NPD

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

{
    "created_epoch": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1437417607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6241 43RD TER N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337095021",
            "telephone_number": "727-374-3092",
            "fax_number": "727-374-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6241 43RD TER N",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "33709",
            "telephone_number": "727-374-3092",
            "fax_number": "727-374-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVALE",
        "first_name": "JERI",
        "name_prefix": "Ms.",
        "credential": "PH.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT1779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MFCT DEP. OF HEALTH",
            "identifier": "MT1779",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Madhuri Duggirala
• Shamik Dwivedi, D.O., M.P.H.
• Eckerds Pharmacy LLC (Vistara Specialty Pharmacy)
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• Michael Fisher, PT

• Marriage & Family Therapist in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.