Jessica Carr, LMHC, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11294 Issued in FL

Legal business name

JESSICA CARR, LMHC, LLC

Practice address

9200 Bonita Beach Rd SE
Suite 212
Bonita Springs, FL 34135-4280

Phone

(239) 895-8146

NPI assigned

Dec 22, 2016

Last updated

Dec 22, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Robertson Carr, M.A., LMHCNPI 1811139678

Title

Owner

Phone

(239) 895-8146

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jessica Robertson Carr, M.A.

  • Mental Health Counselor
  • Bonita Springs, FL
  • NPI 1811139678
  Authorized official Same address or phone

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

{
    "created_epoch": "1482364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1482364800000",
    "number": "1497290738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE",
            "address_2": "SUITE 212",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354280",
            "telephone_number": "239-895-8146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 BONITA BEACH RD SE",
            "address_2": "SUITE 212",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341354280",
            "telephone_number": "239-895-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JESSICA CARR, LMHC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-22",
        "last_updated": "2016-12-22",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ROBERTSON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-895-8146",
        "authorized_official_credential": "M.A., LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Timothy John Jernberg, D.M.D.
• Jimmy Liu, M.D., P.a.
• Tatjana Jobsky
• Debra Johnson, M.ED.
• James Thomas Johnson, CRNA
• Paige Johnson, RPH

• Mental Health Counselor in Bonita Springs, FL
• Providers in Bonita Springs, 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 22, 2016; 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.