Kraig Jinwright

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19501 Issued in FL

Practice address

880 Dr Martin Luther King Jr Blvd
Melbourne, FL 32901-2909

Phone

(321) 914-0650

NPI assigned

Jan 16, 2024

Last updated

Jan 16, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circles of Care, Inc.

  • Psychiatric Hospital
  • Melbourne, FL
  • NPI 1518234830
  NPD
• Moore Medical Group Inc

  • Family Medicine Physician
  • Lake Mary, FL
  • NPI 1578724183
  NPD

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705363200000",
    "number": "1861253007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E SHERIDAN RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013184",
            "telephone_number": "321-722-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 DR MARTIN LUTHER KING JR BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329012909",
            "telephone_number": "321-914-0650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 E Sheridan Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329013184",
            "country_code": "US",
            "telephone_number": "321-722-5200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JINWRIGHT",
        "first_name": "KRAIG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeroll Care Assisted Living Facility of Melbourne, LLC
• JGN Investments LLC (Jeffrey G Nichols DMD PA)
• Kaysha Jimenez
• Roxana Jimenez
• Santiago Jimenez, M.D.
• Michael Joseph Jiordano, PHARMACY TECHNICIAN
• JJL Healthcare Services (Champion Home Health Care)
• JM Holdings of Brevard Inc (Brevard Regional Hyperbaric Center)
• Elaina Joanou
• Nor A Jobarah

• Mental Health Counselor in Melbourne, FL
• Providers in Melbourne, 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 Jan 16, 2024; 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.