Organization Active NPI

Jfrcounseling, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Hollywood, FL
National Provider Identifier
1679812168
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
ADC-010270-2015 Issued in FL
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
13623640OtherFLCAQH

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.