Jennifer E Wilburn

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

804 3Rd St Ste a-B
Neptune Beach, FL 32266-5040

Phone

(904) 646-8884

NPI assigned

Aug 16, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 16, 2026 through Feb 16, 2028

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Stormy Seas Coaching and Counseling, LLC

  • Mental Health Counselor
  • Jacksonville Beach, FL
  • NPI 1619618436
  NPD Authorized official

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466467200000",
    "number": "1629326996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 3RD ST STE A-B",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665040",
            "telephone_number": "904-646-8884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 3RD ST STE A-B",
            "city": "NEPTUNE BEACH",
            "state": "FL",
            "postal_code": "322665040",
            "telephone_number": "904-646-8884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILBURN",
        "first_name": "JENNIFER",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-16",
        "last_updated": "2016-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia M Wallace, A.P.
• Cynthia P Wampler, RDH, MS
• Gina Maria Weeks, PT, DPT
• Amanda Kay West, LM, CPM
• Krista White
• Cindy Witt, CRPS
• Katie Jean Wolf, RDN
• Words Matter
• Wright Smiles PLLC
• Tourner Benjamin Wright, DDS

• Mental Health Counselor in Neptune Beach, FL
• Providers in Neptune Beach, 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 Jun 21, 2016; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.