Active NPI
Jade Robinson
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1154904530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2455 N McMullen Booth Rd
Clearwater, FL 33759-1358 - Phone
- (727) 327-7656
- Fax
- (727) 322-2103
- NPI assigned
- May 3, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
2455 N McMullen Booth Rd
Clearwater, FL 33759-1358
Mailing address
PO Box 10970
St Petersburg, FL 33733-0970
Phone (727) 327-7656
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | suncoastcenter.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Center Inc | Current | Accepting new patients | |
| South Florida Arts & Counseling, Inc | Mental Health | Past | Accepting new patients |
| Suncoast Center, Inc. | Past | Accepting new patients |
Locations
2455 N McMullen Booth Rd
Clearwater, FL 33759
Phone 7273277656 ext. 4310
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1699344762
-
- Mental Health Counselor
- Miami, FL
- NPI 1346851847
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1659371763
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1154904530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10970",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330970",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2103"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2455 N MCMULLEN BOOTH RD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591358",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2103"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBINSON",
"first_name": "JADE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "suncoastcenter.org",
"affiliation": "N",
"address_1": "2455 N McMullen Booth Rd",
"city": "Clearwater",
"state": "FL",
"country_code": "US",
"postal_code": "337591358",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.