Individual provider Active NPI

Jeannie Saros, LMHC

  • Counselor
  • Boca Raton, FL
National Provider Identifier
1487857512
Registry record updated Jun 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH8070 Issued in FL
Practice address
6699 N Federal Hwy
Ste 103
Boca Raton, FL 33487-1660
Phone
(561) 542-0941
Fax
(561) 734-6844
NPI assigned
Jun 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH8070 FL Primary

Addresses

Primary practice location

6699 N Federal Hwy
Ste 103
Boca Raton, FL 33487-1660

Mailing address

6699 N Federal Hwy Ste 103
Boca Raton, FL 33487-1660
Phone (561) 542-0941

Other names 1

  • Jeannie Kennedy Other 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
MH8070FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339632000000",
    "number": "1487857512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6699 N FEDERAL HWY STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871660",
            "telephone_number": "561-542-0941",
            "fax_number": "561-734-6844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6699 N FEDERAL HWY",
            "address_2": "STE 103",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334871660",
            "telephone_number": "561-542-0941",
            "fax_number": "561-734-6844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAROS",
        "first_name": "JEANNIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-06",
        "last_updated": "2012-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH8070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEANNIE",
            "last_name": "KENNEDY",
            "credential": "L.M.H.C, C.A.P",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2012; 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.