Jacquelyn Christine Brown-Bunk, MA LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 11830 Issued in FL

Practice address

4412 Barnes Rd
Jacksonville, FL 32207-7469

Phone

(904) 730-6288

Fax

(904) 739-5339

NPI assigned

Jun 19, 2013

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1922447200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19249",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322459249",
            "telephone_number": "904-743-1883",
            "fax_number": "904-743-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4412 BARNES RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322077469",
            "telephone_number": "904-730-6288",
            "fax_number": "904-739-5339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN-BUNK",
        "first_name": "JACQUELYN",
        "middle_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MA LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 11830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008922800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brown Fertility Associates, P.a.
• Brown Girls Incorporation,LLC
• Tracy L. Brown Wells, M.D.
• Jennifer N Brown- Lewis, RD, LD/N
• Nadia Brown-Black
• Ryan Brown-Ezell, MS, LCGC
• Kristen Ann Brown-Kafka, NCTMB,L.M.T
• Alethea Brooke Brown, ARNP
• Alex James Brown, MD
• Alison Brown

• Mental Health Counselor in Jacksonville, FL
• Providers in Jacksonville, 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 27, 2017; 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.