JESSICA M. I PONCE – Mental Health Counselor, NPI 1063215390

JESSICA M. I PONCE is a healthcare provider. based in Winter garden, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. MH25249 (FL). The NPI Number for JESSICA M. I PONCE is 1063215390

Main info

Female
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
JESSICA M. I PONCE
NPI
1063215390
Phone
(800) 457-4573
Address
15544 W COLONIAL DR
Enumeration Date
31 March 2025
Last Update Date
31 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8004574573
Graduation Year
2012 (14 years ago)
PAC ID
7012431182
Group Practice PAC ID
9638306673
Professional Enrollment ID
I20250410000639
Address ID
FL331332751CO2601XAVEX445
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for JESSICA M. I PONCE

  • 15544 W COLONIAL DR

    WINTER GARDEN, FL 347879556

    Phone: (800) 457-4573

    Fax: (800) 443-6422

    Type: Mailing

  • 2601 SW 37TH AVE STE 904

    CORAL GABLES, FL 331332751

    Phone: (800) 457-4573

    Fax: (800) 443-6422

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250410000639IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34787)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638306673View full group profile
NameSpecialtyState
Nurse PractitionerFL
P S Y C H I A T R YFL
P S Y C H I A T R YNY
Mental Health CounselorFL
Nurse PractitionerFL
P S Y C H I A T R YFL
Clinical Social WorkerFL
Nurse PractitionerFL
Nurse PractitionerFL
-FL

Reviews

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Frequently asked questions

Is JESSICA M. I PONCE listed with a National Provider Identifier?
Yes — JESSICA M. I PONCE has NPI 1063215390 on file in the registry.
Would JESSICA M. I PONCE appear as active to a payer?
You can treat JESSICA M. I PONCE as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with JESSICA M. I PONCE?
JESSICA M. I PONCE's record emphasizes Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with JESSICA M. I PONCE?
Directory geography for JESSICA M. I PONCE centers on Winter Garden, Florida.
When was this NPI issued?
Enumeration for JESSICA M. I PONCE is noted as March 31, 2025 where the registry provides it.

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