Jaclyn Matthews, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH14728 Issued in FL

Practice address

3000 Gulf to Bay Blvd Ste 312
Clearwater, FL 33759-4304

Phone

(727) 279-0101

NPI assigned

Jan 9, 2017

Last updated

Jul 2, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Modern Mental Health LLC

  • Group Psychotherapy Psychologist
  • Clearwater, FL
  • NPI 1487271763

  Mental Health

  NPD Authorized official
• Centerstone of Florida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bradenton, FL
  • NPI 1144251638
  NPD (past)

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1184160590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9478",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342069478",
            "telephone_number": "941-782-4299",
            "fax_number": "941-782-4301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 GULF TO BAY BLVD STE 312",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594304",
            "telephone_number": "727-279-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JACLYN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH14728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amber Matarelli, APRN
• Mike B. Mathews, L.M.T.
• Paul Damian Mathews, RPH
• Jose F Matos, D.D.S
• Elisabeth Paige Matthews, PT
• Nadia Gabrielle Mattson, OTR/L
• Dorota Matusewicz, M.D.
• Jason Mauldin
• Venus Mauldin, PT
• Kimberly Sue Maurer

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, 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 Jul 2, 2020; 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.