Edge of Greatness Psychotherapy PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EDGE OF GREATNESS PSYCHOTHERAPY PLLC

Practice address

19143 Lake Audubon Dr
Tampa, FL 33647-3233

Phone

(813) 451-5371

NPI assigned

May 3, 2025

Organization subpart

No

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

Authorized official

Name

Ms. Jessica Forero, LCSWNPI 1891435160

Title

Psychotherapist

Phone

(813) 451-5371

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jessica Forero, LCSW

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1891435160
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1746230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746230400000",
    "number": "1053100339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19143 LAKE AUDUBON DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473233",
            "telephone_number": "813-451-5371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19143 LAKE AUDUBON DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473233",
            "telephone_number": "813-451-5371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGE OF GREATNESS PSYCHOTHERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-03",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A",
        "authorized_official_last_name": "FORERO",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "813-451-5371",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eden Home Health
• Eden Home Health Martin LLC
• Atom Jacob Edenson, D.M.D.
• Aurora Edgar
• Edgard Janer MD PA
• Laura Michelle Edge, APRN
• Anna Edgemon
• Edger Associates Inc
• Norman Bruce Edgerton Jr., MD
• Jasmine Nicole Edghill, MD

• Clinical Social Worker in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.