Jacqueline Roe, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH12370 Issued in FL

Practice address

16569 SE 77TH Northridge CT
The Villages, FL 32162-8358

Phone

(813) 892-3625

NPI assigned

Feb 20, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1902602980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16569 SE 77TH NORTHRIDGE CT",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321628358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16569 SE 77TH NORTHRIDGE CT",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321628358",
            "telephone_number": "813-892-3625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROE",
        "first_name": "JACQUELINE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH12370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Allen Roberts, ARNP
• Lishann C Robinson, LCSW
• Yerania Rodriguez Navedo, M.D.
• Juan Pablo Rodriguez, PT, DPT
• Yomari Lynn Rodriguez, D.C.
• Mirko Roethlisberger, MD
• Roger W Sherman MD PA
• Timothy W Rogers, M.D.
• Sian Agers Rogusta, NP-C
• Rakesh Rohatgi, M.D.

• Mental Health Counselor in The Villages, FL
• Providers in The Villages, 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 Feb 20, 2025; 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.