Organization Active NPI

Jill K. Bershad, LMHC, Cap

  • Mental Health Counselor
  • Boca Raton, FL
National Provider Identifier
1720483233
Registry record updated Oct 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH6133 Issued in FL
Legal business name
JILL K. BERSHAD, LMHC, CAP
Practice address
7900 Glades Rd
Suite 230
Boca Raton, FL 33434-4167
Phone
(561) 289-1129
Fax
(954) 278-8507
NPI assigned
Oct 27, 2014
Last updated
Oct 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2014

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

Authorized official

Name
Jill K. Bershad, LMHCNPI 1760767990
Title
Owner
Phone
(561) 289-1129

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH6133 FL Primary

Addresses

Primary practice location

7900 Glades Rd
Suite 230
Boca Raton, FL 33434-4167

Mailing address

7900 Glades Rd
Suite 230
Boca Raton, FL 33434-4167
Phone (561) 289-1129

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414368000000",
    "number": "1720483233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7900 GLADES RD",
            "address_2": "SUITE 230",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344167",
            "telephone_number": "561-289-1129",
            "fax_number": "954-278-8507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7900 GLADES RD",
            "address_2": "SUITE 230",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334344167",
            "telephone_number": "561-289-1129",
            "fax_number": "954-278-8507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL K. BERSHAD, LMHC, CAP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-10-27",
        "status": "A",
        "authorized_official_last_name": "BERSHAD",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-289-1129",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2014; 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.