Jaclyn Suzette Felix, LPC, LMHC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

PC009912 Issued in PA

Practice address

420 S State Road 7
Wellington, FL 33414-4303

Phone

(561) 223-1066

NPI assigned

Oct 23, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 23, 2024 through Feb 23, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jaclynpadisak@tdh.allscriptsdirect.net

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.

• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Professional

  NPD

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

{
    "created_epoch": "1508716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1780195396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7401 ANSLEY DR",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "334677708",
            "telephone_number": "561-464-0612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 S STATE ROAD 7",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144303",
            "telephone_number": "561-223-1066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 Rolling Ridge Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017641",
            "country_code": "US",
            "telephone_number": "814-867-0670",
            "fax_number": "814-867-7616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FELIX",
        "first_name": "JACLYN",
        "middle_name": "SUZETTE",
        "credential": "LPC, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-23",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC009912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mildred R Fecher, LMT
• Jasmine D Federick, LCSW
• Joy Elyn Feinberg, M.A., OTR/L
• Juan Ricardo Feliciano
• Felix Andarsio, D.O.,P.a.
• Alice Feniquito, MD
• Michelle Vaughn Fennessy
• Steven J. Fern, M.D.
• Nelva Del Carmen Fernandez Torres I
• Ariel Fernandez, D.O.

• Professional Counselor in Wellington, FL
• Providers in Wellington, FL by specialty
• Professional Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.