Active NPI
Jessica E Pibernus, M.A.
- Behavior Technician
- Miami Lakes, FL
National Provider Identifier
1760803969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- BACB1455562
- Practice address
- 6429 Cow Pen Rd Apt U108
Miami Lakes, FL 33014-6619 - Phone
- (787) 598-6883
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 4321 | PR | |
| Developmental Therapist | 222Q00000X | |||
| Behavior Technician | 106S00000X | BACB1455562 | FL | Primary |
Addresses
Primary practice location
6429 Cow Pen Rd Apt U108
Miami Lakes, FL 33014-6619
Mailing address
6429 Cow Pen Rd Apt U108
Miami Lakes, FL 33014-6619
Phone (787) 598-6883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BACB1455562 | FL | MD | Behavior Technician |
| 4321 | PR | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centro Tu Bienestar | Single Specialty | Past | Accepting new patients |
Organizations & group practices 1
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": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768953600000",
"number": "1760803969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6429 COW PEN RD APT U108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146619",
"telephone_number": "787-598-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6429 COW PEN RD APT U108",
"city": "MIAMI LAKES",
"state": "FL",
"postal_code": "330146619",
"telephone_number": "787-598-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIBERNUS",
"first_name": "JESSICA",
"middle_name": "E",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2026-01-21",
"certification_date": "2026-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "PR",
"license": "4321",
"primary": false
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": "FL",
"license": "BACB1455562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Lakes, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.