Puzzle Peace Counseling, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12319 Issued in FL

Legal business name

PUZZLE PEACE COUNSELING, LLC

Practice address

5270 Palm Valley Rd
Ponte Vedra, FL 32082-3200

Phone

(904) 501-3809

NPI assigned

Jul 7, 2014

Last updated

Jul 7, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Janeen M Herskovitz, MA, LMHC

Title

Owner/President

Phone

(904) 501-3809

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1871909226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5270 PALM VALLEY RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823200",
            "telephone_number": "904-501-3809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5270 PALM VALLEY RD",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320823200",
            "telephone_number": "904-501-3809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZZLE PEACE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "HERSKOVITZ",
        "authorized_official_first_name": "JANEEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "904-501-3809",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexei Mikhailovich Prytkov, M.D, PHD
• PT Solutions of Pensacola, LLC
• Publix Super Markets Inc (Publix Pharmacy #1243)
• Luana Purdy
• Pure Hope Weight Loss and Healthcare, LLC
• Radiology Imaging Associates, LLC
• Shayla Rae, APRN
• Hiro M Rahbar, MD
• Omama Ashraf Rahmany, DO
• Nasrin Datar Raina, M.D.

• Mental Health Counselor in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Jul 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.