MS. JANIE BRYNOLF LCSW, CAC
NPI 1104192400
Social Worker - Clinical in Punta Gorda, FL
About Ms. Janie Brynolf Lcsw, Cac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. JANIE BRYNOLF LCSW, CAC (NPI 1104192400) is an individual clinical provider in Punta Gorda, Florida, licensed in Florida (SW15094) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Flint, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Ms. Janie Brynolf Lcsw, Cac is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Janie Brynolf reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Punta Gorda, FL 33955
- Reassigned Medicare billing, Florida and Michigan enrollments
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33955 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Janie Brynolf's NPI number?
The NPI number for Janie Brynolf is 1104192400. It was assigned to this individual provider in the NPPES registry on March 30, 2012.
Where is Janie Brynolf located?
Janie Brynolf practices at 25078 Purple Emperor Way, Punta Gorda, FL 33955. The listed phone number is (810) 845-6090.
What is Janie Brynolf's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Janie Brynolf enrolled in Medicare?
Yes. Janie Brynolf is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Janie Brynolf's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Janie Brynolf reassigns Medicare benefits to Soul Space Therapy, LLC (Punta Gorda, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Janie Brynolf's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Janie Brynolf accept?
Health plans from Ambetter Health, Ambetter of Alabama, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Florida Blue (BlueCross BlueShield FL) and 3 other insurers list Janie Brynolf as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Janie Brynolf was last updated on February 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ms. Janie Brynolf, LCSW, CAC · NPI 1104192400
Clinical provider in Punta Gorda, Florida. Individual provider, active in the CMS NPPES registry since March 30, 2012.
## Identity
- **NPI:** 1104192400 (Entity type: Individual)
- **Enumerated:** March 30, 2012
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** SW15094 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 25078 PURPLE EMPEROR WAY, Punta Gorda, FL 33955-6220
- **Phone:** (810) 845-6090 · **Fax:** (941) 467-1743
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Soul Space Therapy, LLC (NPI 1700354339, Punta Gorda, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** February 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1104192400) · Data from the CMS NPPES public registry.