Jannedra Ebanks, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH15540 Issued in FL

Practice address

1219 Millennium Pkwy Ste 122
Brandon, FL 33511-3891

Phone

(813) 812-9246

NPI assigned

Aug 26, 2015

Sex

Female

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

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.

• Heal Her Holistic Therapy, LLC

  • Adult Mental Health Clinic/Center
  • Brandon, FL
  • NPI 1821796079
  NPD Authorized official

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1265809115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2430 SAGEMONT DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335111744",
            "telephone_number": "813-956-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 MILLENNIUM PKWY STE 122",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335113891",
            "telephone_number": "813-812-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBANKS",
        "first_name": "JANNEDRA",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-26",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH15540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Easycare Pharmacy Inc
• Cathy Sue Eaton-Hill, ARNP
• Richard J Eatroff, M.D.
• Britnae Ebanks
• Elaine Ebanks
• Ecentrek Health, LLC.
• Eddy L Echols Jr., MD
• Teresa Eddinger
• Eden Psychiatry Health Professional Lim
• Robin E Edmiaston, AUD

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, 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 Feb 17, 2023; 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.