Individual provider Active NPI

Jana Downum, PHD, LPC, MHC

  • Professional Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1437798972
Registry record updated Feb 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17289 Issued in TX
Practice address
6399 Bay Club Dr Apt 3
Fort Lauderdale, FL 33308-1609
Phone
(214) 566-0676
NPI assigned
Jan 1, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 17289 TX
Mental Health Counselor 101YM0800X 20308 FL
Professional Counselor 101YP2500X 17289 TX Primary

Addresses

Primary practice location

6399 Bay Club Dr Apt 3
Fort Lauderdale, FL 33308-1609

Mailing address

6399 Bay Club Dr Apt 3
Ft Lauderdale, FL 33308-1609
Phone (214) 566-0676

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
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
17289TXMDMental Health Counselor
20308FLMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706832000000",
    "number": "1437798972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6399 BAY CLUB DR APT 3",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081609",
            "telephone_number": "214-566-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6399 BAY CLUB DR APT 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081609",
            "telephone_number": "214-566-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNUM",
        "first_name": "JANA",
        "credential": "PHD, LPC, MHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2024-02-02",
        "certification_date": "2024-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": "17289",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20308",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "17289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; 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.