Individual provider Active NPI

Anita Margaret Jobson, MA

  • Mental Health Counselor
  • Winter Park, FL
National Provider Identifier
1073064622
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH14791 Issued in FL
Practice address
1964 Howell Branch Rd
Suite 106
Winter Park, FL 32792-1042
Phone
(407) 490-4303
NPI assigned
Oct 19, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 IMH14791 FL Primary

Addresses

Primary practice location

1964 Howell Branch Rd
Suite 106
Winter Park, FL 32792-1042

Mailing address

481 Augustine CT
Oviedo, FL 32765-7495
Phone (407) 232-0213

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH14791FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1476835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1073064622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 AUGUSTINE CT",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327657495",
            "telephone_number": "407-232-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1964 HOWELL BRANCH RD",
            "address_2": "SUITE 106",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327921042",
            "telephone_number": "407-490-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOBSON",
        "first_name": "ANITA",
        "middle_name": "MARGARET",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-19",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH14791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.