Organization Active NPI

Jada Wellness & Psychotherapy

Doing business as Restorative Integrations Boutique Therapy

  • Mental Health Counselor
  • Fort Lauderdale, FL
National Provider Identifier
1710674601
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
JADA WELLNESS & PSYCHOTHERAPY
Doing business as
Restorative Integrations Boutique Therapy
Practice address
2900 E Oakland Park Blvd FL 3
Fort Lauderdale, FL 33306-1804
Phone
(440) 346-1888
NPI assigned
Apr 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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

Authorized official

Name
Jessica A Ronyak, LMHCNPI 1134683923
Title
Sole Member
Phone
(440) 346-1888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2900 E Oakland Park Blvd FL 3
Fort Lauderdale, FL 33306-1804

Mailing address

2900 E Oakland Park Blvd FL 3
Fort Lauderdale, FL 33306-1804
Phone (440) 346-1888

Other names 1

  • Restorative Integrations Boutique Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1710674601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 E OAKLAND PARK BLVD FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061804",
            "telephone_number": "440-346-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 E OAKLAND PARK BLVD FL 3",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333061804",
            "telephone_number": "440-346-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JADA WELLNESS & PSYCHOTHERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "RONYAK",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "440-346-1888",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restorative Integrations Boutique Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.