Active NPI
Bailey Janelle Sheetz, MS, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1184325623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 20743
- Practice address
- 4747 W Waters Ave Apt 2911
Tampa, FL 33614-1440 - Phone
- (863) 286-9977
- NPI assigned
- Mar 13, 2023
- Last updated
- Jul 12, 2023
- 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 | 20743 | FL | Primary |
Addresses
Primary practice location
4747 W Waters Ave Apt 2911
Tampa, FL 33614-1440
Mailing address
4747 W Waters Ave Apt 2911
Tampa, FL 33614-1440
Phone (863) 286-9977
Other practice location 1
3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411
Phone (727) 238-5821
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH22449 | Other | FL | FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY AND MENTAL HEAL |
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20743 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Revive to Thrive Therapies | Mental Health | Past | Accepting new patients |
| Restored Purpose Counseling Services, PLLC | Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Counselor
- Jacksonville, FL
- NPI 1992321640
-
- Mental Health Counselor
- Palm Harbor, FL
- NPI 1578260717
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689120000000",
"number": "1184325623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4747 W WATERS AVE APT 2911",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141440",
"telephone_number": "863-286-9977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4747 W WATERS AVE APT 2911",
"city": "TAMPA",
"state": "FL",
"postal_code": "336141440",
"telephone_number": "863-286-9977"
}
],
"practiceLocations": [
{
"address_1": "3450 E Lake Rd Ste 307",
"address_purpose": "LOCATION",
"city": "Palm Harbor",
"state": "FL",
"postal_code": "346852411",
"country_code": "US",
"telephone_number": "727-238-5821",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SHEETZ",
"first_name": "BAILEY",
"middle_name": "JANELLE",
"credential": "MS, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-13",
"last_updated": "2023-07-12",
"certification_date": "2023-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "20743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF CLINICAL SOCIAL WORK, MARRIAGE & FAMILY THERAPY AND MENTAL HEAL",
"identifier": "MH22449",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.