Individual provider Active NPI

Jeannie Lynn Warren

  • Mental Health Counselor
  • Palm Harbor, FL
National Provider Identifier
1194894048
Registry record updated Feb 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3218 Pine Forest Dr
Palm Harbor, FL 34684-1835
Phone
(618) 444-8761
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3218 Pine Forest Dr
Palm Harbor, FL 34684-1835

Mailing address

3218 Pine Forest Dr
Palm Harbor, FL 34684-1835
Phone (618) 444-8761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250507000839 FL Practitioner - Mental Health Counselor 4385161934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Tampa Bay Area CounselingGroup PAC ID 5193176006, 14 clinicians

Practice addresses (Care Compare)

3251 N McMullen Booth Rd
Suite 201
Clearwater, FL 33761-2022
Phone (727) 725-6026

3607 Alt
Suite 19
Palm Harbor, FL 34683-1412
Phone (727) 732-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Area Counseling Mental Health CurrentSince Apr 9, 2025 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Feb 16, 2026 Accepting new patients
Mindmetrics Mental Health PastSince May 19, 2024 Accepting new patients

Locations

3251 N McMullen Booth Rd
Ste 201
Clearwater, FL 33761
Phone (727) 725-6026

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707004800000",
    "number": "1194894048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3218 PINE FOREST DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841835",
            "telephone_number": "618-444-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3218 PINE FOREST DR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346841835",
            "telephone_number": "618-444-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARREN",
        "first_name": "JEANNIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2024-02-04",
        "certification_date": "2024-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

Verify at the official NPI Registry.