Individual provider Active NPI

Jennifer Jernigan, LMHC

  • Mental Health Counselor
  • Gulf Breeze, FL
National Provider Identifier
1790401156
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1101 Gulf Breeze Pkwy Ste 2
Gulf Breeze, FL 32561-4891
Phone
(850) 610-7722
NPI assigned
Oct 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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 Primary

Addresses

Primary practice location

1101 Gulf Breeze Pkwy Ste 2
Gulf Breeze, FL 32561-4891

Mailing address

3311 Gulf Breeze Pkwy Ste 209
Gulf Breeze, FL 32563-3351

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250711000831 FL Practitioner - Mental Health Counselor 7810402740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

7552 Navarre Pkwy
Unit 45
Navarre, FL 32566-7309
Phone (850) 610-7722

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jennifer Jernigan Counseling Inc Mental Health CurrentSince May 11, 2025 Accepting new patients

Locations

1101 Gulf Breeze Pkwy
Ste 2
Gulf Breeze, FL 32561
Phone (850) 610-7722

7552 Navarre Pkwy
Unit 4
Navarre, FL 32566
Phone (850) 417-9625

7552 Navarre Pkwy
Unit 45
Navarre, FL 32566
Phone (850) 684-1901

Organizations & group practices 1

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": "1666051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1790401156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 GULF BREEZE PKWY STE 209",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325633351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GULF BREEZE PKWY STE 2",
            "city": "GULF BREEZE",
            "state": "FL",
            "postal_code": "325614891",
            "telephone_number": "850-610-7722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-18",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gulf Breeze, FL

Sources for this page

Verify at the official NPI Registry.