Individual provider Active NPI

Hilary Jacques, LMSW

  • Mental Health Counselor
  • West Palm Beach, FL
National Provider Identifier
1740692607
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ISW8409 Issued in FL
Practice address
5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400
Phone
(561) 244-9499
Fax
(561) 345-3800
NPI assigned
May 27, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ISW8409 FL Primary

Addresses

Primary practice location

5205 Greenwood Ave Ste 105
West Palm Beach, FL 33407-2400

Mailing address

8895 N Military Trail, Ste 300C
Palm Beach Gardens, FL 33410-6279
Phone (561) 244-9499

Other identifiers 1

IdentifierTypeStateIssuer
103549600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220426001529 FL Practitioner - Clinical Social Worker 6800283607 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ISW8409FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Mental Health for Central Michigan CurrentSince Jul 5, 2022 Accepting new patients
Center for Child Counseling, Inc CurrentSince Apr 20, 2021 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince Jun 28, 2023 Accepting new patients
Boca Raton Psychiatry, LLC CurrentSince Mar 1, 2022 Accepting new patients

Locations

9980 Central Park Blvd N
Ste 210
Boca Raton, FL 33428
Phone (561) 342-8822

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

5205 Greenwood Ave
Ste 105
West Palm Beach, FL 33407
Phone (561) 244-9499

8895 N Military Trl
Ste 300C
West Palm Beach, FL 33410
Phone (561) 244-9499

655 E Cedar Ave
Gladwin, MI 48624
Phone (989) 426-9295

218 Fast Ice Dr
Midland, MI 48642
Phone (989) 631-2320

301 S Crapo St
Ste 200
Mt Pleasant, MI 48858
Phone (989) 772-5938

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618272000000",
    "number": "1740692607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 N MILITARY TRAIL, STE 300C",
            "city": "PALM BEACH GARDENS",
            "state": "FL",
            "postal_code": "334106279",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5205 GREENWOOD AVE STE 105",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072400",
            "telephone_number": "561-244-9499",
            "fax_number": "561-345-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUES",
        "first_name": "HILARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-27",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "ISW8409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103549600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.