Mark Jaeger, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11432 Issued in FL

Practice address

1417 N Semoran Blvd
Ste 201
Orlando, FL 32807-3555

Phone

(407) 766-1799

Fax

(407) 671-0234

NPI assigned

Oct 3, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Remind Counseling Services

  • Mental Health Counselor
  • Orlando, FL
  • NPI 1366982993
  NPD (past) Authorized official

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1639421464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 MERRIE OAKS RD",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327923525",
            "telephone_number": "407-766-1799",
            "fax_number": "407-671-0234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1417 N SEMORAN BLVD",
            "address_2": "STE 201",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073555",
            "telephone_number": "407-766-1799",
            "fax_number": "407-671-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-03",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11432",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MH11432",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade'S Love Counseling Center LLC
• Sunil M. Jadonath, MD
• Jae S Kim MD PA
• Danielle Selig Jaeger, APRN
• Kurt Allen Jaeger
• Deborah Jaenicke, MD
• Anam Jaffar, PA
• Mohammad Jaffar, M.D.
• David Alan Jaffe, D.C.
• Linda Ellen Jaffe, MD

• Mental Health Counselor in Orlando, FL
• Providers in Orlando, 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 May 4, 2017; 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.