Jorge Enrique Garcia Jr., PH.D., M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5142 Issued in FL

Practice address

101 Hunting Lodge Dr FL 33166101
Miami Springs, FL 33166-5109

Phone

(786) 208-8619

NPI assigned

Apr 1, 2022

Sex

Male

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

Specialty

Mental Health Counselor

Education

Other, 1987

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science, Doctor of Philosophy

State licenses

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.

• Ocean Reef Medical Institute, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Miami Springs, FL
  • NPI 1821774126
  Medicare reassignment

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1801536198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HUNTING LODGE DR FL 33166101",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665109",
            "telephone_number": "786-208-8619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HUNTING LODGE DR FL 33166101",
            "city": "MIAMI SPRINGS",
            "state": "FL",
            "postal_code": "331665109",
            "telephone_number": "786-208-8619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "JORGE",
        "middle_name": "ENRIQUE",
        "name_suffix": "Jr.",
        "credential": "PH.D., M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "5142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "109803200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luis Enrique Garcia Fernandez
• Garcia Group Home 1
• Daniel Garcia Mitchell
• Angel Alexis Garcia Rivero
• Alexander Garcia Salas, ARNP
• Joshua Garcia
• Julia M Garcia
• Lazaro Garcia, ARNP
• Marisol Garcia, D.D.S.
• Ramon Garcia, DPT

• Mental Health Counselor in Miami Springs, FL
• Providers in Miami Springs, 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 Apr 1, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.