Individual provider Active NPI

Jean L Kraljev, MA, LMHC, CAP

  • Mental Health Counselor
  • Greenacres, FL
National Provider Identifier
1487096814
Registry record updated Jul 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH9348 Issued in FL
Practice address
4010 S 57TH Ave
Suite 103
Greenacres, FL 33463-4301
Phone
(561) 275-1000
NPI assigned
Jul 26, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 2170 FL
Mental Health Counselor 101YM0800X MH9348 FL Primary

Addresses

Primary practice location

4010 S 57TH Ave
Suite 103
Greenacres, FL 33463-4301

Mailing address

5009 Cobalt CT
Greenacres, FL 33463-5959
Phone (561) 275-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, SC, NC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240420000266 FL Practitioner - Mental Health Counselor 1658337704 Reassigns benefits to 2 organizations
I20250425000428 SC Practitioner - Mental Health Counselor 1658337704 Reassigns benefits to 1 organization
I20260115003934 NC Practitioner - Mental Health Counselor 1658337704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2170FLMDAddiction (Substance Use Disorder) Counselor
MH9348FLMDMental Health Counselor
10755SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Mar 7, 2025 Accepting new patients
Beachside Detox LLC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

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": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374796800000",
    "number": "1487096814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5009 COBALT CT",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334635959",
            "telephone_number": "561-275-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 S 57TH AVE",
            "address_2": "SUITE 103",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334634301",
            "telephone_number": "561-275-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRALJEV",
        "first_name": "JEAN",
        "middle_name": "L",
        "credential": "MA, LMHC, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2013-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "2170",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenacres, FL

Sources for this page

Verify at the official NPI Registry.