Vivian Louise Pinner, M. ED., LMHC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 6828 Issued in FL

Practice address

4844 Deer Lake Dr W Ste 101
Jacksonville, FL 32246-4406

Phone

(904) 376-3800

Fax

(904) 390-7431

NPI assigned

Nov 18, 2011

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

Enrolled in FL

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Education

State licenses

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.

• Baptist Behavioral Health, LLC

  • Professional Counselor
  • Jacksonville, FL
  • NPI 1215906649

  FL

  Medicare reassignment

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

{
    "created_epoch": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1831466945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 748519",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303748519",
            "telephone_number": "904-376-3800",
            "fax_number": "904-376-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4844 DEER LAKE DR W STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464406",
            "telephone_number": "904-376-3800",
            "fax_number": "904-390-7431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINNER",
        "first_name": "VIVIAN",
        "middle_name": "LOUISE",
        "credential": "M. ED., LMHC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-18",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 6828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frances Lorraine Pinkney
• Pinnacle Alliance Home Health Care, LLC
• Pinnacle Behavior Therapy, LLC
• Pinnacle Home Care of the Villages, Inc.
• Eric David Pinnar, M.D.
• Terrique Pinnock, MD
• Africa Pino, M.S.
• Angela C Pino, M.ED.
• Wilbert B Pino Jr., MD
• Pinpoint ABA, LLC

• All providers in Jacksonville, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.