Individual provider Active NPI

Bailey Janelle Sheetz, MS, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1184325623
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20743 Issued in FL
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, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
MH22449OtherFLFLORIDA 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

LicenseStateTypeSpecialty
20743FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive to Thrive Therapies Mental Health PastSince Feb 12, 2023 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.

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.

Verify at the official NPI Registry.