Individual provider Active NPI

Jennifer Lynn Morales

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1093552374
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH22414 Issued in FL
Practice address
6580 72ND Ave N Ste a
Pinellas Park, FL 33781-4047
Phone
(727) 440-5612
NPI assigned
Jul 12, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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 IMH22414 FL Primary

Addresses

Primary practice location

6580 72ND Ave N Ste a
Pinellas Park, FL 33781-4047

Mailing address

3044 9TH Ave N
Saint Petersburg, FL 33713-6634
Phone (305) 505-7773

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
I20241126001501 FL Practitioner - Mental Health Counselor 5496280547 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
IMH22414FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Syed K Zaidi MD PA CurrentSince Dec 14, 2024 Accepting new patients
Addiction and Psychiatric Care, LLC Past Accepting new patients

Locations

6580 72nd Ave N
Pinellas Park, FL 33781
Phone (727) 440-5612

6580 72nd Ave N
Ste A
Pinellas Park, FL 33781
Phone (727) 440-5612

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 and National Provider Directory roles.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syed K Zaidi MD PA 7 clinicians

Practice addresses (Care Compare)

6580 72ND Ave N
Suite a
Pinellas Park, FL 33781-4047
Phone (727) 440-5612

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1093552374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 9TH AVE N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337136634",
            "telephone_number": "305-505-7773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6580 72ND AVE N STE A",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337814047",
            "telephone_number": "727-440-5612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "JENNIFER",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH22414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.