John Jack Hupert, LMFT, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT0599 Issued in FL

Legal business name

JOHN JACK HUPERT, LMFT, PLLC

Practice address

4030 Poinciana Ave
Coconut Grove, FL 33133-6329

Phone

(305) 877-0033

NPI assigned

Aug 21, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jack Hupert, LMFT

Title

Therapist

Phone

(305) 877-0033

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440115200000",
    "number": "1689041964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4030 POINCIANA AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331336329",
            "telephone_number": "305-877-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 POINCIANA AVE",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "331336329",
            "telephone_number": "305-877-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN JACK HUPERT, LMFT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-21",
        "last_updated": "2015-08-21",
        "status": "A",
        "authorized_official_last_name": "HUPERT",
        "authorized_official_first_name": "JACK",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "305-877-0033",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT0599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Z3325A",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• All providers in Coconut Grove, FL
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2015; 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.