Jessica Popham, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT3820 Issued in FL

Practice address

1437 Dewey St
Hollywood, FL 33020-6136

Phone

(813) 833-5175

NPI assigned

May 18, 2020

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Nova Southeastern University, Inc

  • Mental Health Counselor
  • Davie, FL
  • NPI 1083342109

  Marriage & Family Therapist

  NPD (past)
• Nova Southeastern University, Inc

  • Mental Health Counselor
  • Ft Lauderdale, FL
  • NPI 1578290599

  Marriage & Family Therapist

  NPD (past)

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

{
    "created_epoch": "1589760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589760000000",
    "number": "1508489188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1437 DEWEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206136",
            "telephone_number": "813-833-5175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1437 DEWEY ST",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206136",
            "telephone_number": "813-833-5175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPHAM",
        "first_name": "JESSICA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-18",
        "last_updated": "2020-05-18",
        "certification_date": "2020-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT3820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariela Pomper
• Joseph Daniel Pomper, DDS
• Anna Wanda Poniecka, M.D.
• Kerantha Poole-Christian, MA, SLP
• Kenneth Kehn-Yao Poon, MD
• Yojebed Popiol
• Matthew Craig Popkin, M.D.
• Tarah Joy Popp, M.D.
• Noelis Porras Sanchez
• Amanda Alison Porro, MD

• Marriage & Family Therapist in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.