Active NPI
Therapy With Jake Better Futures Counseling Group
- Mental Health Counselor
- Hollywood, FL
National Provider Identifier
1548821341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 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
National Provider Directory
National Provider DirectoryLocations
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.