Jesabel Garcia Bergouignan, LMHC, RN

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9615 Issued in FL

Practice address

14665 SW 49TH St
Miami, FL 33175-5003

Phone

(305) 773-3255

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932
  Medicare reassignment Care Compare group NPD
• Life Care Behavioral Management Inc

  • General Practice Physician
  • Miami, FL
  • NPI 1013397298
  Medicare reassignment

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1598327561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14665 SW 49TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755003",
            "telephone_number": "305-773-3255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14665 SW 49TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331755003",
            "telephone_number": "305-773-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERGOUIGNAN",
        "first_name": "JESABEL",
        "middle_name": "GARCIA",
        "credential": "LMHC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Louis Berger, MD MPH
• Dihannet D Jimenez Bergery
• Michael M Bergman, MD
• Ronald Lee Bergman, PH.D
• Rebecca Mia Bergnes
• Nathalie Bergouignan, MOT/ OTR/L
• Beatriz Bergues Lescailles
• Jennifer N Bergues
• Sonya Leigh Beringhaus, APRN
• Angel F. Berio, MD

• Mental Health Counselor in Miami, FL
• Providers in Miami, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.