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JEREMIAH MODEL LMHC
NPI 1477206795
Counselor - Mental Health in Fort Lauderdale, FL

Active since January 27, 2022
2400 E COMMERCIAL BLVD STE 101, FORT LAUDERDALE, FL 33308(833) 769-3524(954) 756-9582 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jan 5, 2026, Jan 27, 2022 (2 updates tracked since 2022).

About Jeremiah Model Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMIAH MODEL LMHC (NPI 1477206795) is an individual mental health provider in Fort Lauderdale, Florida, licensed in Florida (MH19671) and active in the NPI registry since January 2022. He maintains a secondary practice location in Davie.

NPPES Registry Identity

NPI1477206795
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJEREMIAH MODELCredential: LMHC
Location Address2400 E COMMERCIAL BLVD STE 101Fort Lauderdale, FL 33308-4022
Mailing Address2400 E Commercial Blvd Ste 101Fort Lauderdale, FL 33308-4022 · (833) 769-3524 · Fax (954) 756-9582
Phone(833) 769-3524
Fax(954) 756-9582
Sole ProprietorNo
Enumeration DateJanuary 27, 2022
Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2026
✔ NPI 1477206795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH19671
2400 E COMMERCIAL BLVD STE 101, Fort Lauderdale, FL 33308
Open in Google Maps ↗

Secondary Practice Location 1

Location 17320 Griffin Rd Ste 223Davie, FL 33314-4105 · Phone (954) 399-2431

Other Identifiers 1

OtherMH19671FL · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and more.Insurance ›

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. NERI BENJAMIN BARNEA M.D.
Psychiatry & Neurology (Psychiatry)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524
DR. ALYSSA MICHELLE ROSEN M.D.
Psychiatry & Neurology (Psychiatry)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524
MR. LEE MCCOY SLOAN LCSW
Social Worker (Clinical)
2400 E COMMERCIAL BLVD STE 101
FT LAUDERDALE, FL 33308
Broward County (754) 243-5650
HEATHER NICOLE WILBUR APRN
Nurse Practitioner (Psychiatric/Mental Health)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524
JULIANNA MALOREE SANJUAN LCSW
Social Worker (Clinical)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (754) 243-5650
DANIELA MARITZA RAMOS MITCHELL PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524
JOANNE RIFFIN-JACKSON NP
Nurse Practitioner (Psychiatric/Mental Health)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524
RENEE TINA POLYTARIDES LCSW
Social Worker (Clinical)
2400 E COMMERCIAL BLVD STE 101
FORT LAUDERDALE, FL 33308
Broward County (833) 769-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremiah Model's NPI number?

The NPI number for Jeremiah Model is 1477206795. It was assigned to this individual provider in the NPPES registry on January 27, 2022.

Where is Jeremiah Model located?

Jeremiah Model practices at 2400 E Commercial Blvd Ste 101, Fort Lauderdale, FL 33308. The listed phone number is (833) 769-3524.

What is Jeremiah Model's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

What insurance does Jeremiah Model accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare, Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jeremiah Model as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jeremiah Model was last updated on January 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.