Jennifer Arevalo

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

157 Hampton Point Dr Ste 1
St Augustine, FL 32092-3054

Phone

(850) 629-8242

NPI assigned

Dec 14, 2020

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Mindful Mosaic Therapy, LLC

  • Clinical Social Worker
  • St Augustine, FL
  • NPI 1174343511
  NPD Authorized official
• Beaches Therapy LLC

  dba Audrey Roach-Slivinski, LCSW

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Jacksonville Beach, FL
  • NPI 1922471721

  Clinical

  NPD (past)

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1508452541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 CASA SEVILLA AVE",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320924720",
            "telephone_number": "973-851-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HAMPTON POINT DR STE 1",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923054",
            "telephone_number": "850-629-8242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AREVALO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-14",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aplus Children's Therapy
• Rafael Apontelopez, M.D.
• Rebecca Arango
• Desiree Nicole Arena
• James Arendell, PA
• Paul Argott, PH.D., BCBA-D
• Elizabeth Arnett, CNM
• Kenneth Arnett
• Arobase Therapeutic Counseling & Spiritual Guidance
• Ilan Aronovici

• Clinical Social Worker in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.