Individual provider Active NPI

Jennifer Burton, LMHC

  • Mental Health Counselor
  • Maitland, FL
National Provider Identifier
1881915296
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH7208 Issued in FL
Practice address
235 S Maitland Ave
Suite 112
Maitland, FL 32751-5677
Phone
(321) 388-6838
NPI assigned
Jun 20, 2010
Last updated
Oct 19, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 MH7208 FL Primary

Addresses

Primary practice location

235 S Maitland Ave
Suite 112
Maitland, FL 32751-5677

Mailing address

235 S Maitland Ave
Suite 112
Maitland, FL 32751-5677
Phone (321) 388-6838

Other identifiers 1

IdentifierTypeStateIssuer
002970200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2024 through Apr 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH7208FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Hearts Institute Mental Health Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1276992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1881915296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S MAITLAND AVE",
            "address_2": "SUITE 112",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515677",
            "telephone_number": "321-388-6838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S MAITLAND AVE",
            "address_2": "SUITE 112",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327515677",
            "telephone_number": "321-388-6838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BURTON",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-20",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002970200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.