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JESSICA MARTIN NPI 1174079578


NPI Information

NPI: 1174079578
Provider Name: JESSICA MARTIN
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
9600 NW 25TH ST STE PH
DORAL, FL
ZIP 33172
Phone: (305) 597-3861
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Jessica Martin is a mental health counselor in Doral, FL. Jessica Martin NPI is 1174079578. 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:

9600 NW 25TH ST STE PH
DORAL, FL
ZIP 33172
Phone: (305) 597-3861
Fax: (305) 597-3863

The enumeration date for this NPI number is 8/26/2016 and was last updated on 4/5/2021.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthIMH19020FLORIDAYes
2106S00000XBehavior TechnicianRBT-17-36731FLORIDANo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.