Individual provider Active NPI

William Joseph Jette

  • Mental Health Counselor
  • Navarre, FL
National Provider Identifier
1528632890
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH18581 Issued in FL
Practice address
8155 Navarre Pkwy
Navarre, FL 32566-6941
Phone
(850) 710-3848
Fax
(833) 781-1104
NPI assigned
May 19, 2021
Last updated
May 20, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH18581 FL Primary

Addresses

Primary practice location

8155 Navarre Pkwy
Navarre, FL 32566-6941

Mailing address

8668 Navarre Pkwy # 309
Navarre, FL 32566-2185
Phone (850) 710-3848

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL info@aimbh.org AIM Behavioral Health Therapy and Consulting, LLC
Other URL info@aimbh.org Direct AIM Behavioral Health Therapy and Consulting, LLC

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
IMH18581FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Aim Behavioral Health Therapy and Consulting, LLC Mental Health CurrentSince May 25, 2021 Accepting new patients

Locations

8155 Navarre Pkwy
Navarre, FL 32566
Phone (850) 710-3848

8668 Navarre Pkwy
Navarre, FL 32566
Phone (205) 531-5417

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1528632890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8668 NAVARRE PKWY # 309",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325662185",
            "telephone_number": "850-710-3848",
            "fax_number": "833-781-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8155 NAVARRE PKWY",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325666941",
            "telephone_number": "850-710-3848",
            "fax_number": "833-781-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETTE",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH18581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@aimbh.org",
            "affiliation": "Y",
            "affiliationName": "AIM Behavioral Health Therapy and Consulting, LLC",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8155 Navarre Pkwy",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325666941",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "info@aimbh.org",
            "affiliation": "Y",
            "affiliationName": "AIM Behavioral Health Therapy and Consulting, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "8155 Navarre Pkwy",
            "city": "Navarre",
            "state": "FL",
            "country_code": "US",
            "postal_code": "325666941",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.