Organization Active NPI

Jill a. Cantrell, LMHC, PA

  • Community/Behavioral Health Agency
  • Tampa, FL
National Provider Identifier
1093209751
Registry record updated Dec 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH9928 Issued in FL
Legal business name
JILL A. CANTRELL, LMHC, PA
Practice address
1006 W Platt St
Tampa, FL 33606-2116
Phone
(813) 505-3956
Fax
(833) 922-1072
NPI assigned
Jun 18, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2019

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

Authorized official

Name
Jill Anne Cantrell, LMHCNPI 1770808016
Title
Licensed Mental Health Counselor
Phone
(813) 505-3956

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH9928 FL Primary

Addresses

Primary practice location

1006 W Platt St
Tampa, FL 33606-2116

Mailing address

5100 Burchette Rd Unit 905
Tampa, FL 33647-1060
Phone (813) 505-3956

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1093209751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BURCHETTE RD UNIT 905",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471060",
            "telephone_number": "813-505-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062116",
            "telephone_number": "813-505-3956",
            "fax_number": "833-922-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JILL A. CANTRELL, LMHC, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "CANTRELL",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "813-505-3956",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.