Jennifer Braam, LCPC, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH20563 Issued in FL

Practice address

6262 142ND Ave N Unit 901
Clearwater, FL 33760-2771

Phone

(708) 288-1916

NPI assigned

Aug 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1692576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1336923408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6262 142ND AVE N UNIT 901",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602771",
            "telephone_number": "708-288-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6262 142ND AVE N UNIT 901",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337602771",
            "telephone_number": "708-288-1916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAAM",
        "first_name": "JENNIFER",
        "credential": "LCPC, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-21",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "IL",
            "license": "180.009969",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Boylan Hatcher, CCC-SLP
• Kristin L Boylan, DPT
• Maria Angelica Boyle, P.A.-C
• Donald Joe Boyles
• Bozena B Sabala DO PA
• Sandra Bradley, PHARM D
• Melissa Letoya-Blair Bradshaw, DO
• Tyler Burgess Brahm, D.P.M.
• Brain Fitness Centers of Florida, LLC
• Mariko Diann Brandon, M.D.

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, 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 21, 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.