Jessica Fremson Khamvongsa, ED.S

Primary specialty

School CounselorTaxonomy code 101YS0200X

Practice address

1390 S Dixie Highway
Suite 1305
Coral Gables, FL 33146

Phone

(305) 662-2686

Fax

(305) 668-9503

NPI assigned

Jul 5, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• South Miami Psychology Group

  • Clinical Child & Adolescent Psychologist
  • Coral Gables, FL
  • NPI 1760708754
  NPD (past)

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

{
    "created_epoch": "1183593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1629276233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 SW 57TH CT",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331562000",
            "telephone_number": "305-710-2226",
            "fax_number": "305-662-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S DIXIE HIGHWAY",
            "address_2": "SUITE 1305",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33146",
            "telephone_number": "305-662-2686",
            "fax_number": "305-668-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMVONGSA",
        "first_name": "JESSICA",
        "middle_name": "FREMSON",
        "name_prefix": "Mrs.",
        "credential": "ED.S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-05",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YS0200X",
            "taxonomy_group": "",
            "desc": "Counselor, School",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Elena Kendall, MD
• Robert I Kendall, M.D.
• Thressa Kenna
• Ketamine Haus PLLC
• Rahkia Keyes
• Annalesa Khan, PSY.D.
• Imteyaz Ahmad Khan, MD
• Michael A Khan, M.D.
• Nashmia Khan
• Kimberly Kiddoo, PHD

• School Counselor in Coral Gables, FL
• Providers in Coral Gables, FL by specialty
• School Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.