Valerie Brink LMHC PA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH4877 Issued in FL

Legal business name

VALERIE BRINK LMHC PA

Practice address

1361 13TH Ave S
Suite 215
Jacksonville Beach, FL 32250-3233

Phone

(904) 246-3333

NPI assigned

May 18, 2014

Last updated

May 18, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Valerie Brink, LMHC

Title

LMHC

Phone

(904) 246-3333

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1400371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400371200000",
    "number": "1730590217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "SUITE 215",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-246-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S",
            "address_2": "SUITE 215",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503233",
            "telephone_number": "904-246-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALERIE BRINK LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-18",
        "last_updated": "2014-05-18",
        "status": "A",
        "authorized_official_last_name": "BRINK",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_title_or_position": "LMHC",
        "authorized_official_telephone_number": "904-246-3333",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH4877",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD FLORIDA",
            "identifier": "Z8870",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Jacksonville Beach, FL
• Providers in Jacksonville 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 May 18, 2014; 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.