MS. JENNIFER NIKOLE KENDRA MARVIN LMHC
NPI 1215150420
Counselor - Mental Health in South Daytona, FL

Active since April 10, 2007PECOS EnrolledAccepts Medicare Assignment
2400 S RIDGEWOOD AVE STE 17, SOUTH DAYTONA, FL 32119(407) 929-6251 Get Directions Write a Review

NPPES record last updated: October 8, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ms. Jennifer Nikole Kendra Marvin Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER NIKOLE KENDRA MARVIN LMHC (NPI 1215150420) is an individual mental health provider in South Daytona, Florida, licensed in Florida (MH5186) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1215150420
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNIFER NIKOLE KENDRA MARVINCredential: LMHC
Location Address2400 S RIDGEWOOD AVE STE 17South Daytona, FL 32119-3073
Mailing Address4726 Florence StApopka, FL 32712-5540 · (407) 929-6251 · Fax (407) 788-0362
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateApril 10, 2007
Last NPPES UpdateOctober 8, 2019
NPI 1215150420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH5186
Also ListedCounselorTaxonomy 101Y00000X · License MH5186 (FL)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License MH5186 (FL)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License MH5186 (FL)
Also ListedSocial WorkerTaxonomy 104100000X · License MH5186 (FL)
2400 S RIDGEWOOD AVE STE 17, South Daytona, FL 32119

Other Identifiers 2

Medicaid004240900FL
Medicaid076933900FL

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Jennifer Nikole Kendra Marvin Lmhc 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.

PECOS PAC ID7214385350
PECOS Enrollment IDI20231129002735
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Behavior Analyst
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Behavior Technician
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Behavior Technician
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Counselor (Mental Health)
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Clinic/Center
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119
Behavior Technician
2400 S RIDGEWOOD AVE STE 17
SOUTH DAYTONA, FL 32119

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 Jennifer Marvin's NPI number?

The NPI number for Jennifer Marvin is 1215150420. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Jennifer Marvin located?

Jennifer Marvin practices at 2400 S Ridgewood Ave Ste 17, South Daytona, FL 32119. The listed phone number is (407) 929-6251.

What is Jennifer Marvin's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jennifer Marvin enrolled in Medicare?

Yes. Jennifer Marvin 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.

What insurance does Jennifer Marvin accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Jennifer Marvin 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 Jennifer Marvin was last updated on October 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.