Jillian Elise Belcher

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

License

A62764484 Issued in VA

Practice address

100 S Kentucky Ave Ste 215
Lakeland, FL 33801-5089

Phone

(352) 708-6283

NPI assigned

Jul 10, 2019

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Life Counseling Center

  • Mental Health Counselor
  • Clermont, FL
  • NPI 1033665260
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1124670021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4326 LAKE UNDERHILL RD APT D",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328037019",
            "telephone_number": "703-409-6590"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S KENTUCKY AVE STE 215",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338015089",
            "telephone_number": "352-708-6283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1965 S Orange Blossom Trl",
            "address_purpose": "LOCATION",
            "city": "Apopka",
            "state": "FL",
            "postal_code": "327037757",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "858 S Duncan Dr",
            "address_purpose": "LOCATION",
            "city": "Tavares",
            "state": "FL",
            "postal_code": "327784044",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 N Highway 27 Ste 4",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347112411",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9100 Conroy Windermere Rd",
            "address_purpose": "LOCATION",
            "city": "Windermere",
            "state": "FL",
            "postal_code": "347868431",
            "country_code": "US",
            "telephone_number": "352-708-6283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELCHER",
        "first_name": "JILLIAN",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "VA",
            "license": "A62764484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Elisabeth Beikirch-Godwin, MA, LMHC, CAP
• Paula Marie Beikirch, ARNP
• Being Well Chiropractic and Natural Health Inc
• Katie Belcher-Miller, LMHC
• James Michael Belcher, D.D.S.
• Mark H Belfer, DO
• Alicia Belisle, ARNP
• Belkis Z Musalen, DMD, PA
• Aliyah Terrishae Bell, RBT
• Jonathon Bell

• Behavior Technician in Lakeland, FL
• Providers in Lakeland, FL by specialty
• Behavior Technician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.