MRS. JESSICA MALVICINO LMHC NPI 1790017598

NPI Information

NPI: 1790017598
Provider Name: MRS. JESSICA MALVICINO, LMHC
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

PECOS Registration: Yes

Address:
3271 NW 7TH ST STE 203
MIAMI, FL
ZIP 33125
Phone: (786) 220-6902
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MRS. Jessica Malvicino, LMHC is a mental health counselor in Miami, FL with 11 years of experience. MRS. Jessica Malvicino, LMHC NPI is 1790017598. 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:

3271 NW 7TH ST STE 203
MIAMI, FL
ZIP 33125-141
Phone: (786) 220-6902
Fax: (866) 726-0526

The NPI 1790017598 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/3/2010 and was last updated on 12/5/2023.

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	101Y00000X	Counselor				No
2	171M00000X	Case Manager/Care Coordinator				No
3	101YM0800X	Counselor	Mental Health	MH21111	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	MH21111	OTHER	FLORIDA	LICENSED MENTAL HEALTH COUNSELOR

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: 4/28/2024

NPI Synchronization or Removal

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