Individual provider Active NPI

Jessica Monique Vermaak, LMHC-QS, LPCC-S

  • Mental Health Counselor
  • Palm City, FL
National Provider Identifier
1659840361
Registry record updated Dec 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH14675 Issued in FL
Practice address
1840 SW Crane Creek Ave
Palm City, FL 34990-2216
Phone
(561) 350-6011
NPI assigned
Nov 26, 2018
Last updated
Dec 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X E.1800949-SUP OH
Mental Health Counselor 101YM0800X MH14675 FL Primary

Addresses

Primary practice location

1840 SW Crane Creek Ave
Palm City, FL 34990-2216

Mailing address

1840 SW Crane Creek Ave
Palm City, FL 34990-2216
Phone (561) 350-6011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, OH2 enrollments
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250117002621 FL Practitioner - Mental Health Counselor 1658800784 Reassigns benefits to 1 organization
I20250124001587 OH Practitioner - Mental Health Counselor 1658800784 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E.1800949-SUPOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Dec 17, 2024 Accepting new patients
Bee Blissful, LLC CurrentSince May 4, 2025 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

4449 Easton Way
Fl 2
Columbus, OH 43219
Phone (614) 565-8197

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734739200000",
    "number": "1659840361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 SW CRANE CREEK AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902216",
            "telephone_number": "561-350-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 SW CRANE CREEK AVE",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902216",
            "telephone_number": "561-350-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERMAAK",
        "first_name": "JESSICA",
        "middle_name": "MONIQUE",
        "credential": "LMHC-QS, LPCC-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-26",
        "last_updated": "2024-12-21",
        "certification_date": "2024-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.1800949-SUP",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.