Jacquelyn Michelle Granda, LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17038 Issued in FL

Practice address

21301 Powerline Rd Ste 304
Boca Raton, FL 33433-2391

Phone

(561) 902-8317

NPI assigned

Aug 22, 2019

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1629625843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8267 VIA LEONESSA",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332220",
            "telephone_number": "561-902-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21301 POWERLINE RD STE 304",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332391",
            "telephone_number": "561-902-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANDA",
        "first_name": "JACQUELYN",
        "middle_name": "MICHELLE",
        "credential": "LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorin M Graef, M.D.
• Amy Graff
• Patrick Vincent Graham, M.D.
• Tiffany E Graham, LCSW, MCAP, QS
• Jessica Erin Granata, DNP, FNP-C, PMHNP-BC
• Grant a. Killian, PH.D., P.a.
• Grant Disick MD PA
• Sharon Grant-White
• Jeremiah Lewis Grantham, A.P. , LMT
• Ashley Grasso, APRN, FNP-BC

• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, 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 Aug 22, 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.

Verify at the official NPI Registry.