Individual provider Active NPI

Jonathan Vaughn Pawson, LMHC

  • Mental Health Counselor
  • New Port Richey, FL
National Provider Identifier
1205548542
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH22027 Issued in FL
Practice address
7683 Deer Foot Dr
New Port Richey, FL 34653-5004
Phone
(541) 788-0079
NPI assigned
Dec 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 20750 FL
Mental Health Counselor 101YM0800X MH22027 FL Primary

Addresses

Primary practice location

7683 Deer Foot Dr
New Port Richey, FL 34653-5004

Mailing address

7683 Deer Foot Dr
New Port Richey, FL 34653-5004
Phone (541) 788-0079

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
I20240306004440 FL Practitioner - Mental Health Counselor 9436595956 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians
Grow Healthcare Group PAGroup PAC ID 3476961368, 1,045 clinicians

Practice addresses (Care Compare)

1400 N US Hwy 441
Suite 553
The Villages, FL 32159-8987
Phone (352) 706-7799

66 E Flagler St
Miami, FL 33130-1807
Phone (786) 244-7711

9332 State Rd
Trinity, FL 34655-1810
Phone (727) 999-3311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH22027FLMDMental Health Counselor
20750FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Mental Health CurrentSince Sep 27, 2024 Accepting new patients
Paws-a-While Counseling CurrentSince Sep 3, 2025 Accepting new patients
Personal Recovery Network LLC CurrentSince Jan 8, 2024 Accepting new patients

Locations

260 Lookout Pl
Ste 202
Maitland, FL 32751
Phone (407) 537-9450

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

1400 N US Highway 441
Ste 553
The Villages, FL 32159
Phone (352) 205-8514

9332 State Road 54
Ste 307
Trinity, FL 34655
Phone (727) 999-3311

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1205548542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7683 DEER FOOT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535004",
            "telephone_number": "541-788-0079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7683 DEER FOOT DR",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346535004",
            "telephone_number": "541-788-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWSON",
        "first_name": "JONATHAN",
        "middle_name": "VAUGHN",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20750",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

Verify at the official NPI Registry.