Active NPI
Jan Maria Gunn, M.S.
- Mental Health Counselor
- Brandon, FL
National Provider Identifier
1306022744
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH9798
- Practice address
- 501 Vonderburg Drive
Suite 301
Brandon, FL 33511 - Phone
- (813) 881-1000
- Fax
- (813) 689-2856
- NPI assigned
- Jan 16, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH9798 | FL | Primary |
Addresses
Primary practice location
501 Vonderburg Drive
Suite 301
Brandon, FL 33511
Mailing address
510 Vonderburg Dr Ste 301
Brandon, FL 33511-6072
Phone (813) 881-1000
Other practice location 1
1311 N Westshore Blvd
Suite 302
Tampa, FL 33607-4602
Phone (812) 490-5494 ext. 225
Other names 1
- Jan Maria Gunn
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH9798 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Programs of Florida, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Brandon, FL
- NPI 1962542423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1306022744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 VONDERBURG DR STE 301",
"city": "BRANDON",
"state": "FL",
"postal_code": "335116072",
"telephone_number": "813-881-1000",
"fax_number": "813-689-2856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 VONDERBURG DRIVE",
"address_2": "SUITE 301",
"city": "BRANDON",
"state": "FL",
"postal_code": "33511",
"telephone_number": "813-881-1000",
"fax_number": "813-689-2856"
}
],
"practiceLocations": [
{
"address_1": "1311 N Westshore Blvd",
"address_2": "Suite 302",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336074602",
"country_code": "US",
"telephone_number": "812-490-5494 x225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUNN",
"first_name": "JAN",
"middle_name": "MARIA",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-01-16",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH9798",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAN",
"last_name": "GUNN",
"middle_name": "MARIA",
"credential": "MH9798",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.