Julie D Eberwein, PHD

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

MH9903 Issued in FL

Practice address

1903 Island Walkway
Fernandina Beach, FL 32034-4797

Phone

(904) 277-0027

Fax

(407) 867-6261

NPI assigned

Jan 12, 2009

Last updated

Mar 9, 2017By 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 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Path Recovery LLC

  • Adult Mental Health Clinic/Center
  • Madison, TN
  • NPI 1922833565
  Medicare reassignment NPD
• Beyond the Couch, LLC

  • Mental Health Counselor
  • Fernandina Beach, FL
  • NPI 1629564489
  NPD Authorized official

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

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489017600000",
    "number": "1295972313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALKWAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 ISLAND WALKWAY",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344797",
            "telephone_number": "904-277-0027",
            "fax_number": "407-867-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBERWEIN",
        "first_name": "JULIE",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-12",
        "last_updated": "2017-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "228",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH9903",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164581633",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Dufresne, IMH
• Danielle Dumont, LPAT, ATR-BC
• Janee Durden, OTR/L
• Brandi Leigh Durrence-Perkins, CRNA
• Dynamic Dental Health Associates of Florida, PA (Atlantic Smiles)
• Edward D. Tribuzio, M.D., P.a.
• Rochelle Edwards-Fuller
• Tania C Edwards, D.O.
• Anessia Nichole Ellerson
• Emergency Physicians Inc

• Addiction (Substance Use Disorder) Counselor in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Addiction (Substance Use Disorder) 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.