Professional Mental Health & Counseling Corp PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

8686 Issued in PR

Legal business name

PROFESSIONAL MENTAL HEALTH & COUNSELING CORP PC

Practice address

322 C del Recinto Sur
San Juan, PR 00901-0000

Phone

(787) 325-6737

NPI assigned

Feb 24, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jessy Joan Torres Martinez, PHD, LMSW, NSL

Title

Owner/Director

Phone

(787) 325-6737

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Professional Mental Health and Counseling Corp Former legal business name

Electronic endpoints 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janis J Diaz, PSY.D.

  • Clinical Psychologist
  • Salinas, PR
  • NPI 1366712226
  NPD (past)
• Josephine I Rivera Colon

  • Clinical Social Worker
  • Barranquitas, PR
  • NPI 1184517542
  NPD (past)
• Vilma A Roque Nieves, PHD

  • Clinical Psychologist
  • Guayama, PR
  • NPI 1659001568
  NPD (past)
• Ivan Javier Vazquez Torres, PSY.D

  • Clinical Psychologist
  • Ponce, PR
  • NPI 1265772784
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1902346927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 414",
            "city": "AGUIRRE",
            "state": "PR",
            "postal_code": "007040414",
            "telephone_number": "787-667-2437",
            "fax_number": "787-263-2512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "322 C DEL RECINTO SUR",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009010000",
            "telephone_number": "787-325-6737"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Calle Guayama",
            "address_purpose": "LOCATION",
            "city": "Salinas",
            "state": "PR",
            "postal_code": "007513314",
            "country_code": "US",
            "telephone_number": "787-325-6737",
            "fax_number": "787-537-7048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PROFESSIONAL MENTAL HEALTH & COUNSELING CORP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-24",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-09",
        "status": "A",
        "authorized_official_last_name": "TORRES MARTINEZ",
        "authorized_official_first_name": "JESSY",
        "authorized_official_middle_name": "JOAN",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "787-325-6737",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMSW, NSL"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "PR",
            "license": "8686",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIN NUMBER",
            "identifier": "=========",
            "state": "PR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "pmhccpr@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "322 C del Recinto Sur",
            "city": "San Juan",
            "state": "PR",
            "country_code": "US",
            "postal_code": "009010000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Professional Mental Health and Counseling Corp",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Clinical Social Worker in San Juan, PR
• Providers in San Juan, PR by specialty
• Clinical Social Worker in Puerto Rico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.