Individual provider Active NPI

Jillian Lepera, LMHC

  • Mental Health Counselor
  • Boynton Beach, FL
National Provider Identifier
1447769740
Registry record updated Apr 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14263 Issued in FL
Practice address
8200 S Jog Rd Ste 101
Boynton Beach, FL 33472
Phone
(561) 509-5009
NPI assigned
Sep 29, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2019

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 MH14263 FL Primary

Addresses

Primary practice location

8200 S Jog Rd Ste 101
Boynton Beach, FL 33472

Mailing address

618 Mariners Way
Boynton Beach, FL 33435-3245

Other practice location 1

4905 Lantana Rd
Lake Worth, FL 33463-6915
Phone (561) 214-9206

Other practice location 2

5589 Okeechobee Blvd Ste 102
West Palm Beach, FL 33417-4486
Phone (561) 509-5009 ext. 2215

Other practice location 3

12955 Palms West Dr Ste 100
Loxahatchee, FL 33470-9212
Phone (561) 509-5009 ext. 2215

Other names 1

  • Mrs. Jillian Edelstein 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

State licenses

LicenseStateTypeSpecialty
MH14263FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach Pediatrics, LLC Past Accepting new patients
Palm Beach Pediatrics, LLC Past Accepting new patients
Palm Beach Pediatrics, LLC Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554163200000",
    "number": "1447769740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 MARINERS WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334353245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 S JOG RD STE 101",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33472",
            "telephone_number": "561-509-5009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4905 Lantana Rd",
            "address_purpose": "LOCATION",
            "city": "Lake Worth",
            "state": "FL",
            "postal_code": "334636915",
            "country_code": "US",
            "telephone_number": "561-214-9206",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5589 Okeechobee Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334174486",
            "country_code": "US",
            "telephone_number": "561-509-5009 x2215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12955 Palms West Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334709212",
            "country_code": "US",
            "telephone_number": "561-509-5009 x2215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEPERA",
        "first_name": "JILLIAN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-29",
        "last_updated": "2019-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILLIAN",
            "last_name": "EDELSTEIN",
            "prefix": "MRS.",
            "credential": "LMHC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boynton Beach, FL

Sources for this page

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