Individual provider Active NPI

Jacqueline Espinal, LMHC

  • Mental Health Counselor
  • Sanford, FL
National Provider Identifier
1801212576
Registry record updated Dec 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH16350 Issued in FL
Practice address
722 Trade Way
Sanford, FL 32771-8657
Phone
(833) 769-3524
Fax
(407) 915-4387
NPI assigned
Mar 5, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16350 FL Primary

Addresses

Primary practice location

722 Trade Way
Sanford, FL 32771-8657

Mailing address

722 Trade Way Ste 2007
Sanford, FL 32771-8657
Phone (833) 769-3524

Other practice location 1

499 N State Road 434
Suite 2007
Altamonte Springs, FL 32714-2142
Phone (407) 754-8478

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240108006270 FL Practitioner - Mental Health Counselor 5193176709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

722 Trade Way
Sanford, FL 32771-8657
Phone (407) 863-4001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH16350FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Personal Recovery Network LLC CurrentSince Aug 1, 2024 Accepting new patients
Brave Health Inc. CurrentSince Jan 1, 2024 Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

1951 NW 7th Ave
Fl 3
Miami, FL 33136
Phone (305) 297-4749

722 Trade Way
Ste 2007
Sanford, FL 32771

722 Trade Way
Sanford, FL 32771
Phone (407) 863-4001

Organizations & group practices 2

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": "1393977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766966400000",
    "number": "1801212576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 TRADE WAY STE 2007",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718657",
            "telephone_number": "833-769-3524",
            "fax_number": "407-915-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 TRADE WAY",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327718657",
            "telephone_number": "833-769-3524",
            "fax_number": "407-915-4387"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "499 N State Road 434",
            "address_2": "Suite 2007",
            "address_purpose": "LOCATION",
            "city": "Altamonte Springs",
            "state": "FL",
            "postal_code": "327142142",
            "country_code": "US",
            "telephone_number": "407-754-8478",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINAL",
        "first_name": "JACQUELINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-05",
        "last_updated": "2025-12-29",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.