Individual provider Active NPI

Jaime D'Alessio, MA, NCC, MFT INTERN

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1639778574
Registry record updated May 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
R5969 Issued in OR
Practice address
413 E Palmetto Park Rd Apt 953
Boca Raton, FL 33432-5195
Phone
(503) 312-4530
NPI assigned
Oct 21, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X R5969 OR Primary

Addresses

Primary practice location

413 E Palmetto Park Rd Apt 953
Boca Raton, FL 33432-5195

Mailing address

413 E Palmetto Park Rd Apt 953
Boca Raton, FL 33432-5195
Phone (561) 841-3500

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
R5969ORMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1639778574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 953",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325195",
            "telephone_number": "561-841-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 E PALMETTO PARK RD APT 953",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325195",
            "telephone_number": "503-312-4530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "D'ALESSIO",
        "first_name": "JAIME",
        "credential": "MA, NCC, MFT INTERN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "R5969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2021; 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.