DR. JENNIFER PIERCE LAIL PHD
NPI 1912608704
Psychologist - Clinical in Fernandina Beach, FL

Active since March 17, 2023Opted out of Medicare · through Aug 21, 2027
1903 ISLAND WALK WAY, FERNANDINA BEACH, FL 32034(904) 277-0027 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Jennifer Pierce Lail Phd NPPES

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

DR. JENNIFER PIERCE LAIL PHD (NPI 1912608704) is an individual clinical provider in Fernandina Beach, Florida, licensed in Florida (PY11418) and active in the NPI registry since March 2023. She has opted out of Medicare through August 21, 2027.

NPPES Registry Identity

NPI1912608704
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. JENNIFER PIERCE LAILCredential: PHD
Location Address1903 ISLAND WALK WAYFernandina Beach, FL 32034-4797
Mailing Address7753 Middle Valley DrSpringfield, VA 22153-2230 · (919) 259-2168
Sole ProprietorNo
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 17, 2023
NPI 1912608704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in FL · PY11418
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1903 ISLAND WALK WAY, Fernandina Beach, FL 32034

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Jennifer Pierce Lail Phd 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 August 21, 2023 through August 21, 2027.

Opt-Out Effective DateAugust 21, 2023
Opt-Out In Effect ThroughAugust 21, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 15

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

Counselor
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Counselor
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Social Worker (Clinical)
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Counselor (Mental Health)
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Social Worker
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Psychologist (School)
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Psychologist (School)
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034
Counselor (Mental Health)
1903 ISLAND WALK WAY
FERNANDINA BEACH, FL 32034

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 Lail's NPI number?

The NPI number for Jennifer Lail is 1912608704. It was assigned to this individual provider in the NPPES registry on March 17, 2023.

Where is Jennifer Lail located?

Jennifer Lail practices at 1903 Island Walk Way, Fernandina Beach, FL 32034. The listed phone number is (904) 277-0027.

What is Jennifer Lail's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Jennifer Lail enrolled in Medicare?

No. Jennifer Lail has opted out of Medicare through August 21, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Jennifer Lail was last updated on March 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.