Jennifer Anel Campos, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT2789 Issued in FL

Practice address

701 SW 27TH Ave
Suite 500
Miami, FL 33135-3031

Phone

(305) 668-9000

NPI assigned

Jul 1, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jennifer Anel Mortazavi Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1689014953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 SW 27TH AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353031",
            "telephone_number": "305-668-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 SW 27TH AVE",
            "address_2": "SUITE 500",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331353031",
            "telephone_number": "305-668-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPOS",
        "first_name": "JENNIFER",
        "middle_name": "ANEL",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT2789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "MORTAZAVI",
            "middle_name": "ANEL",
            "prefix": "MRS.",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Edgar Hernando Campos, PT
• Elisa A Campos, D.O.
• Gloria Elena Campos, BCBA
• Idania Campos, RBT
• Irma Campos, PHD
• Karen Campos, APRN
• Michael A. Campos, M.D.
• Nara Monteiro Campos
• Nellyann Campos
• Nicole Marie Campos, DNP, APRN, CPNP-PC

• Marriage & Family Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2013; 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.