Jason Robert Kloss, PHD, LMHC, QS, MCAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH17587 Issued in FL

Practice address

1905 Tyrone Blvd N
Saint Petersburg, FL 33710-4841

Phone

(727) 308-1330

Fax

(727) 954-4176

NPI assigned

Dec 17, 2019

Last updated

Dec 19, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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.

• Jason R Kloss PHD LMHC McAp LLC

  • Mental Health Counselor
  • Clearwater, FL
  • NPI 1730760455
  Authorized official Same address or phone

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

{
    "created_epoch": "1576540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1114565546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104841",
            "telephone_number": "727-308-1330",
            "fax_number": "727-954-4176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 TYRONE BLVD N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337104841",
            "telephone_number": "727-308-1330",
            "fax_number": "727-954-4176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "JASON",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "PHD, LMHC, QS, MCAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-17",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MCAP100855",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17587",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA37937",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Klement, DMD
• Jessica A. Klingensmith, D.O.
• Johanna Klink, APRN
• Joshua Klink
• John Kloman II
• Tiana Kloss, MD
• Jesse Lenee Klus, PHARMD
• Kme Chiro Inc (Kristin M. Kidgell D.C.)
• KND Development 59 LLC
• Mary Knight-Martin, LCSW

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; 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.