Individual provider Active NPI

Jaelah Mendez, LCSW

  • Mental Health Counselor
  • Miami, FL
National Provider Identifier
1952889974
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
SW14654 Issued in FL
Practice address
7969 NW 2ND St # 1042
Miami, FL 33191-8018
Phone
(551) 697-8109
NPI assigned
Aug 1, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L13625 OR
Clinical Social Worker 1041C0700X SW14654 FL
Mental Health Counselor 101YM0800X SW14654 FL Primary

Addresses

Primary practice location

7969 NW 2ND St # 1042
Miami, FL 33191-8018

Mailing address

12215 N Miami Ave
North Miami, FL 33168-4544
Phone (551) 697-8109

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
L13625ORMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
MCR Health, Inc. CurrentSince Dec 22, 2022 Accepting new patients
Doctor on Demand Professionals P C CurrentSince Nov 8, 2022 Accepting new patients
Blue Moon Senior Counseling Clinical CurrentSince Jul 23, 2018 Accepting new patients
Beyoutiful Counseling and Empowerment Services, LLC CurrentSince Mar 7, 2021 Accepting new patients
MCR Health, Inc. CurrentSince Dec 22, 2022 Accepting new patients

Locations

1 California St
Ste 2300
San Francisco, CA 94111
Phone (800) 929-0926

12271 US Highway 301 N
Parrish, FL 34219
Phone (941) 713-2231

1201 Hays St
Tallahassee, FL 32301
Phone (855) 522-7233

10204 Bode St
Ste B
Plainfield, IL 60585
Phone (630) 229-6462

Interoperability endpoints

  • Direct secure messaging: jaelah.mendez.1@30520.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1952889974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12215 N MIAMI AVE",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331684544",
            "telephone_number": "551-697-8109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7969 NW 2ND ST # 1042",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331918018",
            "telephone_number": "551-697-8109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JAELAH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-01",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L13625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14654",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "SW14654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.