Organization Active NPI

Therapy With Jake Better Futures Counseling Group

  • Mental Health Counselor
  • Hollywood, FL
National Provider Identifier
1548821341
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAPY WITH JAKE BETTER FUTURES COUNSELING GROUP
Doing business as
Better Futures Counseling Group
Practice address
2421 Hollywood Blvd Ste 1a
Hollywood, FL 33020-6605
Phone
(954) 369-0570
NPI assigned
Jun 24, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Jacob Widdekind, LMHC
Title
Manager
Phone
(954) 369-0570

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2421 Hollywood Blvd Ste 1a
Hollywood, FL 33020-6605

Mailing address

2421 Hollywood Blvd Ste 1a
Hollywood, FL 33020-6605
Phone (954) 369-0570

Other names 1

  • Better Futures Counseling Group Doing business as

National Provider Directory

National Provider Directory

Locations

2421 Hollywood Blvd
Ste 1A
Hollywood, FL 33020
Phone (347) 834-3298

NPI Registry JSON

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

{
    "created_epoch": "1561334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1548821341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 HOLLYWOOD BLVD STE 1A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "954-369-0570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 HOLLYWOOD BLVD STE 1A",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330206605",
            "telephone_number": "954-369-0570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY WITH JAKE BETTER FUTURES COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-24",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "WIDDEKIND",
        "authorized_official_first_name": "JACOB",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-369-0570",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Better Futures Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.