Active NPI
Jamie Kathleen Sockol, LMHC
- Mental Health Counselor
- Davie, FL
National Provider Identifier
1578901740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10211
- Practice address
- 13800 Roanoke St
Davie, FL 33325-6516 - Phone
- (954) 531-2338
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10211 | FL | Primary |
Addresses
Primary practice location
13800 Roanoke St
Davie, FL 33325-6516
Mailing address
13762 W State Road 84 Unit 159
Davie, FL 33325-5305
Phone (954) 667-9844
Other names 1
- Jamie Kathleen Powers
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH10211 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Self Care Counseling of South Florida, Inc. | Current | Accepting new patients | |
| Broward House, Inc. | Past | Accepting new patients |
Locations
13762 W State Road 84
Davie, FL 33325
Phone (305) 213-5373
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Lake Worth, FL
- NPI 1134984321
-
- Community/Behavioral Health Agency
- Fort Lauderdale, FL
- NPI 1033391727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707868800000",
"number": "1578901740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13762 W STATE ROAD 84 UNIT 159",
"city": "DAVIE",
"state": "FL",
"postal_code": "333255305",
"telephone_number": "954-667-9844"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13800 ROANOKE ST",
"city": "DAVIE",
"state": "FL",
"postal_code": "333256516",
"telephone_number": "954-531-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOCKOL",
"first_name": "JAMIE",
"middle_name": "KATHLEEN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2024-02-14",
"certification_date": "2024-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "POWERS",
"middle_name": "KATHLEEN",
"credential": "LMHC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Davie, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.