Active NPI
Jessica Ann Lanier, LMHC
- Mental Health Counselor
- Jacksonville, FL
National Provider Identifier
1912051764
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH8684
- Practice address
- 4844 Deer Lake Dr W Ste 101
Jacksonville, FL 32246-4406 - Phone
- (904) 376-3800
- Fax
- (904) 390-7431
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH8684 | FL | Primary |
Addresses
Primary practice location
4844 Deer Lake Dr W Ste 101
Jacksonville, FL 32246-4406
Mailing address
224 Oleander St
Neptune Beach, FL 32266-4850
Phone (904) 982-1255
Other practice location 1
2354 University Blvd N
Jacksonville, FL 32211-3228
Phone (904) 982-1255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 767680800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH8684 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Behavioral Health, LLC | Mental Health | Current | Accepting new patients |
Locations
4844 Deer Lake Dr W
Ste 101
Jacksonville, FL 32246
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": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642032000000",
"number": "1912051764",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 OLEANDER ST",
"city": "NEPTUNE BEACH",
"state": "FL",
"postal_code": "322664850",
"telephone_number": "904-982-1255"
},
{
"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": [
{
"address_1": "2354 University Blvd N",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322113228",
"country_code": "US",
"telephone_number": "904-982-1255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LANIER",
"first_name": "JESSICA",
"middle_name": "ANN",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2022-01-13",
"certification_date": "2022-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH8684",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "767680800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.