Jennifer Dibernardo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1601 NE Braille PL
Jensen Beach, FL 34957-5345

Phone

(772) 320-0770

NPI assigned

Feb 6, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

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.

• HPS, Helping People Succeed, Inc.

  • Case Management Agency
  • Jensen Beach, FL
  • NPI 1831201482
  NPD
• Suncoast Mental Health Center, Inc.

  • Community/Behavioral Health Agency
  • Fort Pierce, FL
  • NPI 1225046550
  NPD (past)

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1780122267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NE BRAILLE PL",
            "city": "JENSEN BEACH",
            "state": "FL",
            "postal_code": "349575345",
            "telephone_number": "772-320-0770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2814 S US Highway 1",
            "address_2": "Suite D4",
            "address_purpose": "LOCATION",
            "city": "Fort Pierce",
            "state": "FL",
            "postal_code": "349828120",
            "country_code": "US",
            "telephone_number": "772-489-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIBERNARDO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-1051699",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65-0789152",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Dent
• Pierre Antoine Dervil, APRN, FNP-C
• Sherine Desouza, B.A
• Carine M Despinos, A.R.N.P.
• Diana Macchia, LLC
• Frank Eric Dickens, MD
• Megan A Dillon, SLP
• Diverse Family Solution ABA Therapy
• Cheryl R Dodge, P.T.
• Denise Dolan

• Mental Health Counselor in Jensen Beach, FL
• Providers in Jensen Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.