Jody M. Buttram, LPC MHSP, LMFT, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

19335 Issued in FL

Practice address

340 S Beach St Ste 202
Daytona Beach, FL 32114-5079

Phone

(423) 619-0878

NPI assigned

Jun 23, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1982086203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 HUCKLEBERRY BRANCH CT",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321243629",
            "telephone_number": "423-619-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 S BEACH ST STE 202",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145079",
            "telephone_number": "423-619-0878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTTRAM",
        "first_name": "JODY",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LPC MHSP, LMFT, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TN",
            "license": "3342",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TN",
            "license": "1281",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "4102",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "19335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Paige Buscher
• Breanna Bush
• David Bradford Butler
• Nancy N Butler, MD
• Trenton Youngs Butler, PA-C
• George Eddie Butts Jr.
• Lauren Buxman, RDH
• Kayla Buzzetta-Kast
• Matthew Frederick Byron, MSNA, CRNA
• Alexandria Elizabeth Cabrera Yao, PHARM.D

• Mental Health Counselor in Daytona Beach, FL
• Providers in Daytona 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 Apr 9, 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.

Verify at the official NPI Registry.