Jessica Malvicino, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21111 Issued in FL

Practice address

3271 NW 7TH St Ste 203
Miami, FL 33125-4141

Phone

(786) 220-6902

Fax

(866) 726-0526

NPI assigned

Feb 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

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

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.

• Outpatient Psy Care Inc

  dba Outpatient Med-Psy Care

  • Clinical Psychologist
  • Miami, FL
  • NPI 1306897954
  Medicare reassignment NPD
• Med-Psy Care, LLC

  • Multi-Specialty Clinic/Center
  • Miami, FL
  • NPI 1932944303
  NPD (past)

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701734400000",
    "number": "1790017598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 347604",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "332347604",
            "telephone_number": "786-220-6902",
            "fax_number": "866-726-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3271 NW 7TH ST STE 203",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331254141",
            "telephone_number": "786-220-6902",
            "fax_number": "866-726-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALVICINO",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED MENTAL HEALTH COUNSELOR",
            "identifier": "MH21111",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheetal Malpani, MD
• Vanessa Perez Maltby, M.A.
• Kevin Antonio Maltez
• Mariesarah Kristelle Malval
• Leopoldo Malvezzi, MD
• Maly's Special Support Inc
• Mam Behavior Therapy, LLC
• Mama by Nature, LLC
• Mama's on Wheels LLC
• Mamay in Bloom Counseling LLC

• Mental Health Counselor in Miami, FL
• Providers in Miami, 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 Dec 5, 2023; 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.