Individual provider Active NPI

James R. Bramblett Jr., PH.D. LMHC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1962848143
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3738 Issued in FL
Practice address
3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349
Phone
(850) 583-1963
NPI assigned
May 15, 2013
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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 MH3738 FL Primary

Addresses

Primary practice location

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349

Mailing address

3201 Shamrock St S Ste 103
Tallahassee, FL 32309-3349
Phone (850) 583-1963

Other practice location 1

11 S Calhoun St
Quincy, FL 32351-3170
Phone (850) 627-6220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240313003142 FL Practitioner - Mental Health Counselor 9830535780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3201 Shamrock St S
Suite 103
Tallahassee, FL 32309-3349
Phone (850) 583-1963

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MH3738FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
JB Christian Counseling LLC Mental Health CurrentSince Feb 28, 2024 Accepting new patients
Learning Alternative Behaviors, Youth and Family Services, LLC Past Accepting new patients

Locations

3201 Shamrock S
Ste 103
Tallahassee, FL 32309
Phone (850) 566-0648

Organizations & group practices 2

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": "1368576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1962848143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-583-1963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 SHAMROCK ST S STE 103",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323093349",
            "telephone_number": "850-583-1963"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11 S Calhoun St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323513170",
            "country_code": "US",
            "telephone_number": "850-627-6220",
            "fax_number": "850-627-6229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAMBLETT",
        "first_name": "JAMES",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PH.D. LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-15",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.