Organization Active NPI

Grounded & Gathered Collective, LLC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1093662074
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
GROUNDED & GATHERED COLLECTIVE, LLC
Practice address
4355 3Rd Ave N
St Petersburg, FL 33713-7305
Phone
(908) 783-4403
NPI assigned
Mar 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Authorized official

Name
Jessica Gerstein, LMHC-QS, LPC, ACSNPI 1063985893
Title
Founder
Phone
(908) 783-4403

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X

Addresses

Primary practice location

4355 3Rd Ave N
St Petersburg, FL 33713-7305

Mailing address

4355 3Rd Ave N
St Petersburg, FL 33713-7305
Phone (908) 783-4403

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": "1773187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773187200000",
    "number": "1093662074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4355 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137305",
            "telephone_number": "908-783-4403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 3RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137305",
            "telephone_number": "908-783-4403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDED & GATHERED COLLECTIVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-11",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A",
        "authorized_official_last_name": "GERSTEIN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "908-783-4403",
        "authorized_official_credential": "LMHC-QS, LPC, ACS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; 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.