Individual provider Active NPI

Jules M Jean-Pierre, MA

  • Professional Counselor
  • Orange Park, FL
National Provider Identifier
1578072112
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MT3794 Issued in FL
Practice address
2105 Park Ave Ste 2
Orange Park, FL 32073-5557
Phone
(904) 606-5611
Fax
(904) 672-3388
NPI assigned
Sep 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Professional Counselor 101YP2500X MT3794 FL Primary

Addresses

Primary practice location

2105 Park Ave Ste 2
Orange Park, FL 32073-5557

Mailing address

2105 Park Ave
Orange Park, FL 32073-5583
Phone (904) 606-5611

Other practice location 1

2392 North Edgewood Avenue
Jacksonville, FL 32254
Phone (904) 781-7797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 10, 2024 through Apr 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MT3794FLMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Hope Counseling LLC Professional CurrentSince Oct 5, 2021 Accepting new patients

Locations

2105 Park Ave
Ste 2
Orange Park, FL 32073
Phone (904) 372-3070

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578072112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 PARK AVE",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735583",
            "telephone_number": "904-606-5611",
            "fax_number": "904-672-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 PARK AVE STE 2",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320735557",
            "telephone_number": "904-606-5611",
            "fax_number": "904-672-3388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2392 North Edgewood Avenue",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32254",
            "country_code": "US",
            "telephone_number": "904-781-7797",
            "fax_number": "904-781-8685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEAN-PIERRE",
        "first_name": "JULES",
        "middle_name": "M",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "certification_date": "2021-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MT3794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.