Jennifer Hiers, LMHC
Individual provider Active NPI Mental Health Counselor · Bunnell, FL
NPI 1083091417 · NPPES record last updated Dec 12, 2019
Key facts
- NPI
- 1083091417
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 4721 E Moody Blvd Ste 204
Bunnell, FL 32110-7706 - Phone
- (386) 793-9669
- Fax
- (386) 256-1761
- NPI assigned
- May 6, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reach Counseling & Wellness LLC | Current | Accepting new patients |
Locations
4721 E Moody Blvd
Ste 204
Bunnell, FL 32110
Phone (386) 793-9669
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
4721 E Moody Blvd Ste 204
Bunnell, FL 32110-7706
Mailing address
4721 E Moody Blvd Ste 204
Bunnell, FL 32110-7706
Phone (386) 793-9669
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All providers in Bunnell, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.