Jennifer Charlynn Burch, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14313 Issued in FL

Practice address

1497 SW Martin Downs Blvd
Palm City, FL 34990-2802

Phone

(772) 337-8500

Fax

(772) 337-8505

NPI assigned

Apr 26, 2007

Last updated

Mar 9, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JJGJCA

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.

• NDS, LLC

  dba NU life Medical Group

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Palm City, FL
  • NPI 1982198222
  NPD (past)
• The Toledo Clinic, LLC

  dba Neuropsychiatric Addiction Clinic

  • Substance Abuse Rehabilitation Facility
  • Port St Lucie, FL
  • NPI 1740634930
  NPD (past)

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1184844623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "276 BRAZILIAN CIR",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349521398",
            "telephone_number": "321-474-5660",
            "fax_number": "772-337-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1497 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902802",
            "telephone_number": "772-337-8500",
            "fax_number": "772-337-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURCH",
        "first_name": "JENNIFER",
        "middle_name": "CHARLYNN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH14313",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH14313",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14313",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH14313",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MH14313",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Broccoli, ARNP
• Alexiah Brown
• Charles Brown III
• Kayla Brown
• Molly Buono, MA CCC SLP
• Brianna Lyn Burger
• Danielle Burgess, REG. CLIN. SW INTERN
• Jacqueline Burgos
• Jennifer Anne Burke-Marinelli, ARNP
• Dennis M Burton, M.D.

• Mental Health Counselor in Palm City, FL
• Providers in Palm City, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.