Jaeleen Roman, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2980 Park Pond Way
Kissimmee, FL 34741-7660

Phone

(407) 930-4711

NPI assigned

Dec 7, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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.

• North Star Counseling of Central Florida, LLC.

  • Mental Health Counselor
  • Kissimmee, FL
  • NPI 1497151369
  NPD
• A Great Life Services Inc

  • Community/Behavioral Health Agency
  • Orlando, FL
  • NPI 1144367418

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1902517261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8985 PALOS VERDE DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328258081",
            "telephone_number": "407-684-2490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2980 PARK POND WAY",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347417660",
            "telephone_number": "407-930-4711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROMAN",
        "first_name": "JAELEEN",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jaeleenacosta@gmail.com",
            "affiliation": "Y",
            "endpointDescription": "North Star counseling llc",
            "affiliationName": "North Star Counseling LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "jaeleenacosta@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "address",
            "address_1": "2980 Park Pond Way",
            "city": "Kissimmee",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347417660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Roman Cepeda
• Antonio Ramon Roman Lopez
• Cathy Y Roman Ramos
• Raquel Roman Robles, M.D.
• Eyeli Roman, RN
• Jennifer Roman
• Lixania Roman
• Nathaly Roman
• Nicole J Roman
• Ramiro Roman Jr., PHARM.D

• Mental Health Counselor in Kissimmee, FL
• Providers in Kissimmee, 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 8, 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.