Jennifer Lynn Marshall, EDD, LMHC, NCC, ACS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11098 Issued in FL

Practice address

400 Thomas Dr.
7108
Panama City Beach, FL 32408

Phone

(706) 332-6449

NPI assigned

Mar 16, 2018

Sex

Female

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1521158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521158400000",
    "number": "1912400805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2522 PELICAN BAY DR",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324087046",
            "telephone_number": "513-310-1324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 THOMAS DR.",
            "address_2": "7108",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "32408",
            "telephone_number": "706-332-6449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARSHALL",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "EDD, LMHC, NCC, ACS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-16",
        "last_updated": "2018-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jake Matthew Mackinnon, SOIDC
• Managing Concepts, Inc.
• Alexander Manley
• Racquel E Marin, PA-C
• Jany Marques Youngs
• Hannah J Martin Matherne, CRNA
• Christy D Martin, DNP, APRN
• Tiffany Arnold Martin, APRN-C
• Jennifer Marie Martinez
• Rosina Ann Marzullo, PTA

• Mental Health Counselor in Panama City Beach, FL
• Providers in Panama City Beach, 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 Mar 16, 2018; 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.