Active NPI
Jacqueline Emond, LMHC CSOTS
- Mental Health Counselor
- Panama City, FL
National Provider Identifier
1932582236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10025
- Practice address
- 2711 W 15TH St
Panama City, FL 32401-1366 - Phone
- (850) 769-6001
- NPI assigned
- Jul 4, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH10025 | FL | Primary |
Addresses
Primary practice location
2711 W 15TH St
Panama City, FL 32401-1366
Mailing address
9902 S Thomas Dr
#1129
Panama City Beach, FL 32408-1201
Phone (850) 543-5512
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 |
|---|---|---|---|
| MH10025 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435968000000",
"number": "1932582236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9902 S THOMAS DR",
"address_2": "#1129",
"city": "PANAMA CITY BEACH",
"state": "FL",
"postal_code": "324081201",
"telephone_number": "850-543-5512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 W 15TH ST",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324011366",
"telephone_number": "850-769-6001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EMOND",
"first_name": "JACQUELINE",
"credential": "LMHC CSOTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-04",
"last_updated": "2015-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10025",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
- Emerald Coast Sleep Diagnostics
- Emerald Coast Sleep Diagnostics
- Emerald Coast Ventures Inc
- Emerald Isle Pulmonary Medicine Inc
- Emerald Waters Inpatient Services LLC
- Empowerher Health Physical Therapy, LLC
- Encompass Health Rehabilitation Hospital of Panama City, Inc.
- Gregory James England, MD
- John Christian England, MD
- Phala A Enzor, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.