Individual provider Active NPI

Jatu A Bracewell, MFT

  • Mental Health Counselor
  • Plantation, FL
National Provider Identifier
1548591522
Registry record updated Jan 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
8931 N New River Canal Rd
3F
Plantation, FL 33324-3831
Phone
(954) 681-5750
NPI assigned
Jan 15, 2010
Last updated
Jan 15, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 15, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

8931 N New River Canal Rd
3F
Plantation, FL 33324-3831

Mailing address

8931 N New River Canal Rd
3F
Plantation, FL 33324-3831
Phone (954) 681-5750

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

NPI Registry JSON

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263513600000",
    "number": "1548591522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8931 N NEW RIVER CANAL RD",
            "address_2": "3F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243831",
            "telephone_number": "954-681-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8931 N NEW RIVER CANAL RD",
            "address_2": "3F",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333243831",
            "telephone_number": "954-681-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRACEWELL",
        "first_name": "JATU",
        "middle_name": "A",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2010; 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.