Active NPI
Briana Jackson
- Professional Counselor
- Panama City, FL
National Provider Identifier
1780191254
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- MH26890
- Practice address
- 3212 Jenks Ave
Panama City, FL 32405-4224 - Phone
- (850) 771-1521
- NPI assigned
- Jan 5, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH26890 | FL | Primary |
Addresses
Primary practice location
3212 Jenks Ave
Panama City, FL 32405-4224
Mailing address
3212 Jenks Ave
Panama City, FL 32405-4224
Phone (850) 771-1521
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-2857
1643 NW 136TH Ave BLDG H
Sunrise, FL 33323-3091
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH26890 | FL | MD | Professional Counselor |
Organizations & group practices 3
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.
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- Hospitalist Physician
- Tampa, FL
- NPI 1255862439
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777593600000",
"number": "1780191254",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3212 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054224",
"telephone_number": "850-771-1521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3212 JENKS AVE",
"city": "PANAMA CITY",
"state": "FL",
"postal_code": "324054224",
"telephone_number": "850-771-1521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "BRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-05",
"last_updated": "2026-05-01",
"certification_date": "2026-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH26890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panama City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.