JODIE LYNN BRAZELTON (LMHC) – Mental Health Counselor, NPI 1285372052

JODIE LYNN BRAZELTON (LMHC) is a healthcare provider. based in Lake worth, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LMHC. They hold a License No. 20779 (FL). The NPI Number for JODIE LYNN BRAZELTON (LMHC) is 1285372052

Main info

Female
Sole Proprietor
8 Years Of Experience
Accepts Medicare Assignment
Name
JODIE LYNN BRAZELTON (LMHC)
NPI
1285372052
Phone
(919) 537-2781
Address
4530 SANDY COVE TER
Enumeration Date
23 May 2022
Last Update Date
23 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5613428822
Graduation Year
2018 (8 years ago)
PAC ID
0840737946
Group Practice PAC ID
0749547750
Professional Enrollment ID
I20240807002196
Address ID
FL334281703BO9980XBLVD501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for JODIE LYNN BRAZELTON (LMHC)

  • 4530 SANDY COVE TER

    LAKE WORTH, FL 334671112

    Phone: (919) 537-2781

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-08-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240807002196IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33467)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749547750View full group profile
NameSpecialtyState
Clinical Social WorkerFL
P S Y C H I A T R YFL
Mental Health CounselorFL
P S Y C H I A T R YAK
P S Y C H I A T R YFL
P S Y C H I A T R YIL
Clinical Social WorkerFL
Clinical Social WorkerFL
Clinical PsychologistPA
Clinical Social WorkerFL

Reviews

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Frequently asked questions

Can I verify JODIE LYNN BRAZELTON (LMHC) with an NPI only?
You can start verification with NPI 1285372052 for JODIE LYNN BRAZELTON (LMHC), then check state licensing separately.
Is JODIE LYNN BRAZELTON (LMHC) listed as active for patients and plans?
The listing shows JODIE LYNN BRAZELTON (LMHC) as active in the NPI system.
What is JODIE LYNN BRAZELTON (LMHC)'s specialty?
The listing groups JODIE LYNN BRAZELTON (LMHC) with Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Where should I expect JODIE LYNN BRAZELTON (LMHC) on a map?
Expect Lake Worth, Florida as a primary anchor for JODIE LYNN BRAZELTON (LMHC) unless the record lists multiple sites.
Is the information about JODIE LYNN BRAZELTON (LMHC) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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