Active NPI
Jennifer Stevens, LMHC
- Mental Health Counselor
- Pompano Beach, FL
National Provider Identifier
1922618206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8086
- Practice address
- 2301 W Sample Rd Ste 1a
Pompano Beach, FL 33073-3081 - Phone
- (305) 310-6558
- NPI assigned
- Aug 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MH8086 | FL | |
| Mental Health Counselor | 101YM0800X | MH8086 | FL | Primary |
Addresses
Primary practice location
2301 W Sample Rd Ste 1a
Pompano Beach, FL 33073-3081
Mailing address
380 W Palmetto Park Rd Unit 111
Boca Raton, FL 33432-6713
Phone (305) 310-6558
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | JStevens@thebeachestreatmentcenter.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8086 | FL | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607558400000",
"number": "1922618206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "380 W PALMETTO PARK RD UNIT 111",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334326713",
"telephone_number": "305-310-6558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2301 W SAMPLE RD STE 1A",
"city": "POMPANO BEACH",
"state": "FL",
"postal_code": "330733081",
"telephone_number": "305-310-6558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STEVENS",
"first_name": "JENNIFER",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-03",
"last_updated": "2020-12-10",
"certification_date": "2020-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MH8086",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8086",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "JStevens@thebeachestreatmentcenter.com",
"affiliation": "N",
"endpointDescription": "business email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1111 Hypoluxo Rd",
"city": "Lantana",
"state": "FL",
"country_code": "US",
"postal_code": "334624271",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pompano Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.