Robert M Jernigan Jr., M.A. CAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMH19742 Issued in FL

Practice address

820 37TH PL
Vero Beach, FL 32960-6562

Phone

(772) 569-9788

Fax

(772) 569-2088

NPI assigned

Aug 3, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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

• Mental Health Association in Indian River County Inc

  • Community/Behavioral Health Agency
  • Vero Beach, FL
  • NPI 1760570451
  NPD

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1245840495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1918 ESPLANADE AVE N",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349825647",
            "telephone_number": "772-672-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 37TH PL",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606562",
            "telephone_number": "772-569-9788",
            "fax_number": "772-569-2088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "ROBERT",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "M.A. CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH19742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew R Jennison, RPH
• Holly Leanne Jensen, APRN, FNP-C
• Joanna Jensen, ARNP
• Brent Alan Jeremy, LCSW
• Bridgette Jerger
• Thanushiya Jeyakanthan, M.D.
• Jimmy Lockhart MD, PL
• Jjapi, Inc
• JMG Medical Associates LLC
• Evelyne JN Claude

• Mental Health Counselor in Vero Beach, FL
• Providers in Vero Beach, 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 Aug 3, 2020; 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.