Sunrise Counseling and Life Coaching, PLLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

SUNRISE COUNSELING AND LIFE COACHING, PLLC

Practice address

2641 N Flamingo Rd Apt 2103N
Sunrise, FL 33323-1748

Phone

(570) 216-2764

NPI assigned

Sep 16, 2021

Organization subpart

No

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

Authorized official

Name

Jenny Kirn, MS, LPC, MHCNPI 1225299498

Title

Owner

Phone

(570) 216-2764

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jenny Kirn, MA

  • Mental Health Counselor
  • West Reading, PA
  • NPI 1225299498

  FL

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1631750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631750400000",
    "number": "1396415725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 N FLAMINGO RD APT 2103N",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231748",
            "telephone_number": "570-216-2764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 N FLAMINGO RD APT 2103N",
            "city": "SUNRISE",
            "state": "FL",
            "postal_code": "333231748",
            "telephone_number": "570-216-2764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNRISE COUNSELING AND LIFE COACHING, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-16",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A",
        "authorized_official_last_name": "KIRN",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "570-216-2764",
        "authorized_official_credential": "MS, LPC, MHC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sunrise Cardiology Assoc.
• Sunrise Chiropractic Wellness Center, LLC
• Sunrise Dental Services, PLLC
• Sunrise Eyecare Specialty Lenses and Dry Eye Institute
• Sunrise Family Dentistry
• Sunrise Family Smiles, PA
• Sunrise FL Opco LLC (Regents Park of Sunrise)

• Mental Health Clinic/Center (Including Community Mental Health Center) in Sunrise, FL
• Providers in Sunrise, FL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.