Individual provider Active NPI

Janelle Damrau, RMHCI

  • Mental Health Counselor
  • Lakewood Ranch, FL
National Provider Identifier
1972138600
Registry record updated Mar 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH17263 Issued in FL
Practice address
9015 Town Center Pkwy Unit 107
Lakewood Ranch, FL 34202-5012
Phone
(908) 229-3753
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH17263 FL Primary

Addresses

Primary practice location

9015 Town Center Pkwy Unit 107
Lakewood Ranch, FL 34202-5012

Mailing address

9015 Town Center Pkwy Unit 107
Lakewood Ranch, FL 34202-5012
Phone (908) 229-3753

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Www.connectioncubed.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

LicenseStateTypeSpecialty
IMH17263FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583193600000",
    "number": "1972138600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 107",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025012",
            "telephone_number": "908-229-3753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9015 TOWN CENTER PKWY UNIT 107",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342025012",
            "telephone_number": "908-229-3753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMRAU",
        "first_name": "JANELLE",
        "credential": "RMHCI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2020-03-03",
        "certification_date": "2020-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Www.connectioncubed.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "9015 Town Center Pkwy Unit 107",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342025012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.

Verify at the official NPI Registry.