Individual provider Active NPI

Jackeline Vindell, MS, RMHCI

  • Counselor
  • Pompano Beach, FL
National Provider Identifier
1972317501
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH27237 Issued in FL
Practice address
2050 North Andrews Ave
Unit 102 #1191
Pompano Beach, FL 33069
Phone
(954) 682-1176
NPI assigned
Feb 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH27237 FL Primary

Addresses

Primary practice location

2050 North Andrews Ave
Unit 102 #1191
Pompano Beach, FL 33069

Mailing address

2050 North Andrews Ave
Unit 102 #1191
Pompano Beach, FL 33069
Phone (954) 682-1176

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
IMH27237FLMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1738627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1972317501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2050 NORTH ANDREWS AVE",
            "address_2": "UNIT 102 #1191",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-682-1176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 NORTH ANDREWS AVE",
            "address_2": "UNIT 102 #1191",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "33069",
            "telephone_number": "954-682-1176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINDELL",
        "first_name": "JACKELINE",
        "credential": "MS, RMHCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-04",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH27237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Feb 4, 2025; 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.