Active NPI
Jennifer Lynn Morales
- Mental Health Counselor
- Pinellas Park, FL
National Provider Identifier
1093552374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH22414
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241126001501 | FL | Practitioner - Mental Health Counselor | 5496280547 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH22414 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syed K Zaidi MD PA | Current | 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.
-
- Addiction Psychiatry Physician
- Pinellas Park, FL
- NPI 1093375784
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.