Individual provider Active NPI

Jill Sigrid Niski, RCSWI

  • Mental Health Counselor
  • Wesley Chapel, FL
National Provider Identifier
1053147405
Registry record updated Feb 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20090 Issued in FL
Practice address
2240 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6970
Phone
(813) 838-4807
NPI assigned
Sep 11, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20090 FL Primary

Addresses

Primary practice location

2240 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6970

Mailing address

2240 Twelve Oaks Way Ste 101
Wesley Chapel, FL 33544-6970

Other practice location 1

7710 OSteen Rd
New Port Richey, FL 34653-2324
Phone (727) 264-6497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
20090FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
As We Grow Counseling, PA CurrentSince Sep 15, 2024 Accepting new patients
Pepin Academies of Pasco County Inc PastSince Dec 22, 2024 Accepting new patients

Locations

2240 Twelve Oaks Way
Ste 101
Wesley Chapel, FL 33544
Phone (813) 838-4807

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740528000000",
    "number": "1053147405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 TWELVE OAKS WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 TWELVE OAKS WAY STE 101",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446970",
            "telephone_number": "813-838-4807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7710 OSteen Rd",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346532324",
            "country_code": "US",
            "telephone_number": "727-264-6497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NISKI",
        "first_name": "JILL",
        "middle_name": "SIGRID",
        "credential": "RCSWI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2025-02-26",
        "certification_date": "2025-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.