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JENNIFER E WILBURN
NPI 1629326996
Counselor - Mental Health in Neptune Beach, FL

Active since August 16, 2012Opted out of Medicare · through Feb 16, 2028
804 3RD ST STE A-B, NEPTUNE BEACH, FL 32266(904) 646-8884 Get Directions Write a Review

NPPES record last updated: June 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jennifer E Wilburn NPPES

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

JENNIFER E WILBURN (NPI 1629326996) is an individual mental health provider in Neptune Beach, Florida and active in the NPI registry since August 2012. She has opted out of Medicare through February 16, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1629326996
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER E WILBURN
Location Address804 3RD ST STE A-BNeptune Beach, FL 32266-5040
Mailing Address804 3rd St Ste A-bNeptune Beach, FL 32266-5040 · (904) 646-8884
Phone(904) 646-8884
Sole ProprietorYes
Enumeration DateAugust 16, 2012
Last NPPES UpdateJune 21, 2016
✔ NPI 1629326996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
804 3RD ST STE A-B, Neptune Beach, FL 32266
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Jennifer E Wilburn has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 16, 2026 through February 16, 2028.

Opt-Out Effective DateFebruary 16, 2026
Opt-Out In Effect ThroughFebruary 16, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES

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

MS. HAVEY ELIZABETH BAER LMHC
Counselor (Mental Health)
804 3RD ST STE A-B
NEPTUNE BEACH, FL 32266
Duval County (904) 553-2715

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 Wilburn's NPI number?

The NPI number for Jennifer Wilburn is 1629326996. It was assigned to this individual provider in the NPPES registry on August 16, 2012.

Where is Jennifer Wilburn located?

Jennifer Wilburn practices at 804 3rd St Ste A-B, Neptune Beach, FL 32266. The listed phone number is (904) 646-8884.

What is Jennifer Wilburn's specialty?

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

Is Jennifer Wilburn enrolled in Medicare?

No. Jennifer Wilburn has opted out of Medicare through February 16, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Wilburn was last updated on June 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.