NPIMap

Individual provider Active NPI

Jo-Ann Prisco, LMHC

  • Mental Health Counselor
  • Port St Lucie, FL
National Provider Identifier
1538201975
Registry record updated Apr 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5486 Issued in FL
Practice address
548 NW University Blvd
Suite 102
Port St Lucie, FL 34986-2284
Phone
(772) 214-1010
Fax
(772) 345-2837
NPI assigned
Feb 13, 2007
Last updated
Apr 16, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 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 MH 5486 FL Primary

Addresses

Primary practice location

548 NW University Blvd
Suite 102
Port St Lucie, FL 34986-2284

Mailing address

11368 SW Glengarry CT
Port St Lucie, FL 34987-2812
Phone (772) 216-3031

Other identifiers 2

IdentifierTypeStateIssuer
013312900MedicaidFL
760558700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jprisco@chrysalishealth.com

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 5486FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chrysalis Health Current Accepting new patients
Rising Hope Counseling, LLC Mental Health Current Accepting new patients

Locations

3800 W Broward Blvd
Ste 100
Ft Lauderdale, FL 33312

Organizations & group practices 10

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1538201975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11368 SW GLENGARRY CT",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349872812",
            "telephone_number": "772-216-3031",
            "fax_number": "772-345-2837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "548 NW UNIVERSITY BLVD",
            "address_2": "SUITE 102",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349862284",
            "telephone_number": "772-214-1010",
            "fax_number": "772-345-2837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRISCO",
        "first_name": "JO-ANN",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013312900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "760558700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jprisco@chrysalishealth.com",
            "affiliation": "N",
            "address_1": "548 NW University Blvd",
            "address_2": "Suite 102",
            "city": "Port St Lucie",
            "state": "FL",
            "country_code": "US",
            "postal_code": "349862284",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port St Lucie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.