Adina Elizabeth Hodge-Jefferson, MH 12675

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH16275 Issued in FL

Practice address

1389 Meadowbrook Dr
West Palm Beach, FL 33417-5431

Phone

(561) 818-8454

NPI assigned

Feb 13, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Adina Elizabeth Samuel Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: adinahodgejefferson@tdh.allscriptsdirect.net

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.

• It's in You Counseling Services LLC

  • Mental Health Counselor
  • West Palm Beach, FL
  • NPI 1730654781
  NPD Authorized official
• Teladoc Health Medical Group, P.a.

  • Family Medicine Physician
  • Lewisville, TX
  • NPI 1245403567

  Mental Health

  NPD

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

{
    "created_epoch": "1329091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539129600000",
    "number": "1982977567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 MEADOWBROOK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334175431",
            "telephone_number": "561-818-8454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1389 MEADOWBROOK DR",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334175431",
            "telephone_number": "561-818-8454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1551 Forum Pl Ste 400",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334012319",
            "country_code": "US",
            "telephone_number": "561-616-8411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HODGE-JEFFERSON",
        "first_name": "ADINA",
        "middle_name": "ELIZABETH",
        "credential": "MH 12675",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-13",
        "last_updated": "2018-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16275",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADINA",
            "last_name": "SAMUEL",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Shakeena Hobbs
• Georges A Hobeika, M.D.
• Kevin Michael Hoch, L.C.S.W.
• Elizabeth Erin Hochberg
• Leonard R Hock Jr., D.O.
• Serena Hodge
• Marlene Rene Hodges-Earl, M.P.T.
• Valerie Hoelscher Newara, MS, LMFT
• Janis Gordon Hoewing, LCSW
• Naomi Hoffman, OTR/L

• Mental Health Counselor in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; 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.