JENNIFER ROSS LMHC NPI 1063747061

NPI Information

NPI: 1063747061
Provider Name: JENNIFER ROSS, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
5867 WHITAKER RD
NAPLES, FL
ZIP 34112
Phone: (239) 734-4678
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Jennifer Ross, LMHC is a mental health counselor in Naples, FL. Jennifer Ross, LMHC NPI is 1063747061. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5867 WHITAKER RD
NAPLES, FL
ZIP 34112-963
Phone: (239) 734-4678
Fax: (239) 774-0801

The enumeration date for this NPI number is 10/8/2009 and was last updated on 7/25/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	MH9406	FLORIDA	No
2	101YM0800X	Counselor	Mental Health	MH9406	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000713900	MEDICAID	FLORIDA
2	4674	OTHER	FLORIDA	CERTIFIED ADDICTION PROFESSIONAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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