Active NPI
Jaelah Mendez, LCSW
- Mental Health Counselor
- Miami, FL
National Provider Identifier
1952889974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- SW14654
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L13625 | OR | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCR Health, Inc. | Current | Accepting new patients | |
| Doctor on Demand Professionals P C | Current | Accepting new patients | |
| Blue Moon Senior Counseling | Clinical | Current | Accepting new patients |
| Beyoutiful Counseling and Empowerment Services, LLC | Current | Accepting new patients | |
| MCR Health, Inc. | Current | 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
- 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Miami, FL
- NPI 1922693688
-
- Federally Qualified Health Center (FQHC)
- Parrish, FL
- NPI 1255376000
-
- Non-Pharmacy Dispensing Site
- Bradenton, FL
- NPI 1821878745
-
- Clinical Social Worker
- Plainfield, IL
- NPI 1205129186
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1174931448
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.