Jacqueline Y Pardillo, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH9761 Issued in FL

Practice address

1200 N Federal Hwy Ste 200
Boca Raton, FL 33432-2813

Phone

(305) 721-3128

NPI assigned

Mar 13, 2009

Last updated

Jan 5, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Miami Psychological Center PA

  • Mental Health Counselor
  • Boca Raton, FL
  • NPI 1982107538
  Medicare reassignment NPD
• Behavioral Crossroads, Inc.

  • Behavior Analyst
  • Miami, FL
  • NPI 1225896699
  NPD Authorized official

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

{
    "created_epoch": "1236902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1780825190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9796 NW 51ST TER",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331781910",
            "telephone_number": "786-229-6589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 N FEDERAL HWY STE 200",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334322813",
            "telephone_number": "305-721-3128"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8200 NW 41st St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331666204",
            "country_code": "US",
            "telephone_number": "305-721-3128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9796 NW 51st Ter",
            "address_purpose": "LOCATION",
            "city": "Doral",
            "state": "FL",
            "postal_code": "331781910",
            "country_code": "US",
            "telephone_number": "786-229-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARDILLO",
        "first_name": "JACQUELINE",
        "middle_name": "Y",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-13",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH9761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0026685-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Leah Pardee
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• Claudia Pardo
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• Mental Health Counselor in Boca Raton, FL
• Providers in Boca Raton, 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 Jan 5, 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.

Verify at the official NPI Registry.