Enid Jackowitz, MA, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7170 Issued in FL

Practice address

661 Seminola Blvd
Casselberry, FL 32707-3057

Phone

(407) 678-6655

Fax

(407) 629-2068

NPI assigned

Dec 23, 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

Other names 1

• Mrs. Enid Duchin Jackowitz Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1198368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198368000000",
    "number": "1487838769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 SEMINOLA BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073057",
            "telephone_number": "407-678-6655",
            "fax_number": "407-629-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 SEMINOLA BLVD",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327073057",
            "telephone_number": "407-678-6655",
            "fax_number": "407-629-2068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKOWITZ",
        "first_name": "ENID",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-23",
        "last_updated": "2007-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ENID",
            "last_name": "JACKOWITZ",
            "middle_name": "DUCHIN",
            "prefix": "MRS.",
            "credential": "MA, LMHC, NCC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Casselberry, FL
• Providers in Casselberry, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2007; 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.