Active NPI
Hilary Jacques, LMSW
- Mental Health Counselor
- West Palm Beach, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ISW8409
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103549600 | Medicaid | FL |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ISW8409 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Mental Health for Central Michigan | Current | Accepting new patients | |
| Center for Child Counseling, Inc | Current | Accepting new patients | |
| Grow Healthcare Group PA | Mental Health | Current | Accepting new patients |
| Boca Raton Psychiatry, LLC | Current | 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.
-
- Psychiatry Physician
- Boca Raton, FL
- NPI 1275056616
-
- Mental Health Counselor
- Miami, FL
- NPI 1245845932
-
- Community/Behavioral Health Agency
- West Palm Beach, FL
- NPI 1518305747
-
- Psychiatry Physician
- Mt Pleasant, MI
- NPI 1609412840
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.