Individual provider Active NPI

Christina Jean Lerch, MA, NCC, LMHC

  • Counselor
  • Port Charlotte, FL
National Provider Identifier
1336687680
Registry record updated Dec 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MH14732 Issued in FL
Practice address
18245 Paulson Dr Unit 116
Port Charlotte, FL 33954-1019
Phone
(941) 276-5229
Fax
(941) 629-0237
NPI assigned
Feb 7, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MH14732 FL Primary

Addresses

Primary practice location

18245 Paulson Dr Unit 116
Port Charlotte, FL 33954-1019

Mailing address

2719 N Chamberlain Blvd
North Port, FL 34286-9308
Phone (941) 276-5229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20251015000477 FL Practitioner - Mental Health Counselor 7618464470 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1777 Tamiami TRL
Suite 500
Port Charlotte, FL 33948-1064

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
MH14732FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dandelion Behavioral Health LLC CurrentSince Oct 2, 2025 Accepting new patients

Locations

1777 Tamiami Trl
Ste 500
Port Charlotte, FL 33948
Phone (941) 391-6605

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.

NPI Registry JSON

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575244800000",
    "number": "1336687680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2719 N CHAMBERLAIN BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342869308",
            "telephone_number": "941-276-5229",
            "fax_number": "941-629-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18245 PAULSON DR UNIT 116",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339541019",
            "telephone_number": "941-276-5229",
            "fax_number": "941-629-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LERCH",
        "first_name": "CHRISTINA",
        "middle_name": "JEAN",
        "credential": "MA, NCC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-07",
        "last_updated": "2019-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH14732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.