Jennifer Thibodeaux, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY9698 Issued in FL

Practice address

2429 Central Ave Ste 208
Saint Petersburg, FL 33713-8848

Phone

(727) 610-2395

NPI assigned

Oct 4, 2016

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Coastal Neuropsychology, LLCGroup PAC ID 6406135748, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Neuropsychology, LLC

  • Clinical Neuropsychologist
  • Clearwater, FL
  • NPI 1871956805
  Medicare reassignment Care Compare group NPD
• Jennifer L. Thibodeaux, PLLC

  • Clinical Psychologist
  • St Petersburg, FL
  • NPI 1093246589
  Medicare reassignment Authorized official
• Cotler Healthcare & Development Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Wellington, FL
  • NPI 1225075047
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1013467919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2429 CENTRAL AVE STE 208",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337138848",
            "telephone_number": "727-610-2395",
            "fax_number": "727-933-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2429 CENTRAL AVE STE 208",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337138848",
            "telephone_number": "727-610-2395"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Gulf To Bay Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337594304",
            "country_code": "US",
            "telephone_number": "727-222-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THIBODEAUX",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-04",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY9698",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapy With Grace LLC
• Therapy With Rosemary LLC
• Therapycentral Inc
• Therapycentral Inc
• Rachael Lenne Thibeau
• Michelle Thillet-Schaefer
• Thiru S. Arasu, M.D., P.a.
• Thiru S. Arasu, MD, PA
• Melanie McInturff Thoenes, ARNP
• Thomas C. Silver, D.M.D., M.S., P.a.

• Psychologist in Saint Petersburg, FL
• Providers in Saint Petersburg, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.