Individual provider Active NPI

Jessica E Pibernus, M.A.

  • Behavior Technician
  • Miami Lakes, FL
National Provider Identifier
1760803969
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
BACB1455562 Issued in FL
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

Updated by the provider on Jan 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 4321 PR
Developmental Therapist 222Q00000X
Behavior TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

LicenseStateTypeSpecialty
BACB1455562FLMDBehavior Technician
4321PRMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew 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.

Verify at the official NPI Registry.