Individual provider Active NPI

Jacqueline Maria Whitehill, M.A.

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1538304274
Registry record updated Mar 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9901 Issued in FL
Practice address
225 S Swoope Ave Ste 211
Maitland, FL 32751-5786
Phone
(407) 928-0444
Fax
(407) 699-0444
NPI assigned
Dec 9, 2008
Last updated
Mar 28, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2017

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 9901 FL Primary

Addresses

Primary practice location

225 S Swoope Ave Ste 211
Maitland, FL 32751-5786

Mailing address

687 Cedar Forest Cir
Orlando, FL 32828-8267
Phone (407) 497-8334

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240116002676 FL Practitioner - Mental Health Counselor 7719339787 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
9901FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Adapt Behavioral Services, Inc. CurrentSince Dec 21, 2023 Accepting new patients

Locations

125 S Swoope Ave
Ste 110
Maitland, FL 32751
Phone (407) 622-0444

225 S Swoope Ave
Ste 211
Maitland, FL 32751
Phone (407) 622-0444

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": "1228780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490659200000",
    "number": "1538304274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "687 CEDAR FOREST CIR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328288267",
            "telephone_number": "407-497-8334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S SWOOPE AVE STE 211",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515786",
            "telephone_number": "407-928-0444",
            "fax_number": "407-699-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHILL",
        "first_name": "JACQUELINE",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-09",
        "last_updated": "2017-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "9901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.