Jessica Guitard-Sampson, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11759 Issued in FL

Practice address

1458 SW Bartell Ave
Port Saint Lucie, FL 34953-5369

Phone

(772) 834-7653

NPI assigned

Aug 15, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1408060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408060800000",
    "number": "1497154397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 SW BARTELL AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535369",
            "telephone_number": "772-834-7653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1458 SW BARTELL AVE",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349535369",
            "telephone_number": "772-834-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUITARD-SAMPSON",
        "first_name": "JESSICA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-15",
        "last_updated": "2014-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabriel Guerrero, MD
• Josue Guerrier, PMHNP-BC
• Sarah B Guettler, DPT
• Guilaine Guillaume, NP
• Murielle Guillaume
• Michael Gulenay, D.O.
• Gulf Coast Health Solutions
• Gulfstream Eye PLLC
• Mike Rocky Guthrie Jr., LCSW
• Maria Paula Gutierrez

• Mental Health Counselor in Port Saint Lucie, FL
• Providers in Port Saint Lucie, 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 Aug 15, 2014; 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.