Individual provider Active NPI

Jessie Zamora, LMHC

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1083428932
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26874 Issued in FL
Practice address
2033 Wood St Ste 220
Sarasota, FL 34237-7927
Phone
(941) 677-3366
NPI assigned
Feb 3, 2025
Last updated
Nov 20, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26874 FL Primary
Mental Health Counselor 101YM0800X IMH24803 FL

Addresses

Primary practice location

2033 Wood St Ste 220
Sarasota, FL 34237-7927

Mailing address

3600 Roxane Blvd
Sarasota, FL 34235-8135
Phone (941) 822-4210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20260109001518 FL Practitioner - Mental Health Counselor 4486130424 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center of Revitalizing Psychiatry, P.C.Group PAC ID 0648239988, 39 clinicians

Practice addresses (Care Compare)

2033 Wood St
Suite 220
Sarasota, FL 34237-7927
Phone (941) 677-3366

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH24803FLMDMental Health Counselor
MH26874FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center of Revitalizing Psychiatry, P.C. CurrentSince Jan 5, 2026 Accepting new patients
Arg Innovations LLC Mental Health CurrentSince Feb 9, 2025 Accepting new patients
Center of Revitalizing Psychiatry PC PastSince Nov 24, 2025 Accepting new patients

Locations

5801 21st Ave W
Bradenton, FL 34209
Phone (941) 215-0899

2033 Wood St
Ste 220
Sarasota, FL 34237
Phone (941) 677-3366

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1083428932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 ROXANE BLVD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342358135",
            "telephone_number": "941-822-4210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2033 WOOD ST STE 220",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342377927",
            "telephone_number": "941-677-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAMORA",
        "first_name": "JESSIE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26874",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH24803",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.