Active NPI
Jfrcounseling, LLC
- Addiction (Substance Use Disorder) Counselor
- Hollywood, FL
National Provider Identifier
1679812168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- ADC-010270-2015
- Legal business name
- JFRCOUNSELING, LLC
- Practice address
- 4601 Sheridan St Ste 400
Hollywood, FL 33021 - Phone
- (561) 617-3437
- NPI assigned
- Feb 5, 2013
- Last updated
- Aug 11, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Julian Frank Rodriguez, ED.S., M.ED., MCAP
- Title
- Ceo
- Phone
- (561) 617-3437
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | ADC-010270-2015 | FL | Primary |
| Community/Behavioral Health Agency | 251S00000X | L11000117623 | FL | |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
4601 Sheridan St Ste 400
Hollywood, FL 33021
Mailing address
4601 Sheridan St Ste 400
Hollywood, FL 33021-3435
Phone (561) 617-3437
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13623640 | Other | FL | CAQH |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1597104000000",
"number": "1679812168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4601 SHERIDAN ST STE 400",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330213435",
"telephone_number": "561-617-3437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 SHERIDAN ST STE 400",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "33021",
"telephone_number": "561-617-3437"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JFRCOUNSELING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-02-05",
"last_updated": "2020-08-11",
"certification_date": "2020-08-11",
"status": "A",
"authorized_official_last_name": "RODRIGUEZ",
"authorized_official_first_name": "JULIAN",
"authorized_official_middle_name": "FRANK",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "561-617-3437",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "ED.S., M.ED., MCAP"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "ADC-010270-2015",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "L11000117623",
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13623640",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hollywood, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.