Individual provider Active NPI

Bernie Justilien, ED.D

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1649060476
Registry record updated May 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH27642 Issued in FL
Practice address
1487 2ND St # C-5
Sarasota, FL 34236-4911
Phone
(305) 833-1849
NPI assigned
May 6, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH27642 FL Primary

Addresses

Primary practice location

1487 2ND St # C-5
Sarasota, FL 34236-4911

Mailing address

73 Shining Water LN
Spring Lake, NC 28390-7007
Phone (305) 833-1849

Other names 1

  • Dr. Bernie Jean Justilien Professional name

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

State licenses

LicenseStateTypeSpecialty
IMH27642FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. B. Justilien Counseling LLC Mental Health CurrentSince May 11, 2025 Accepting new patients
Dr. B. Justilien Counseling LLC Mental Health CurrentSince May 11, 2025 Accepting new patients

Locations

1487 2nd St
#C5
Sarasota, FL 34236
Phone (305) 833-1849

Organizations & group practices 2

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": "1746489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746835200000",
    "number": "1649060476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 SHINING WATER LN",
            "city": "SPRING LAKE",
            "state": "NC",
            "postal_code": "283907007",
            "telephone_number": "305-833-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1487 2ND ST # C-5",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342364911",
            "telephone_number": "305-833-1849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTILIEN",
        "first_name": "BERNIE",
        "name_prefix": "Dr.",
        "credential": "ED.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-10",
        "certification_date": "2025-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH27642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BERNIE",
            "last_name": "JUSTILIEN",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "ED.D",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2025; 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.