Individual provider Active NPI

Jolene Lantz, MA, LMHC

  • Mental Health Counselor
  • Lutz, FL
National Provider Identifier
1215647094
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
14021 Issued in FL
Practice address
18703 N Dale Mabry Hwy
Lutz, FL 33548-4979
Phone
(813) 219-8844
NPI assigned
Dec 1, 2022
Last updated
Dec 1, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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 14021 FL Primary

Addresses

Primary practice location

18703 N Dale Mabry Hwy
Lutz, FL 33548-4979

Mailing address

18133 Palm Breeze Dr
Tampa, FL 33647-2841
Phone (813) 407-1129

Other practice location 1

27551 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6950
Phone (813) 219-8844

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL www.boundlesshope.net Direct

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 Arts

State licenses

LicenseStateTypeSpecialty
14021FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Boundless Hope Mental Health CurrentSince Jan 1, 2023 Accepting new patients

Locations

18703 N Dale Mabry Hwy
Lutz, FL 33548
Phone (813) 219-8844

27551 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 219-8844

Organizations & group practices 1

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": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1215647094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18133 PALM BREEZE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472841",
            "telephone_number": "813-407-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18703 N DALE MABRY HWY",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484979",
            "telephone_number": "813-219-8844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27551 Cashford Cir Ste 102",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335446950",
            "country_code": "US",
            "telephone_number": "813-219-8844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANTZ",
        "first_name": "JOLENE",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.boundlesshope.net",
            "affiliation": "N",
            "endpointDescription": "jotform hippa compliant messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "jotform hippa compliant messaging",
            "address_1": "18703 N Dale Mabry Hwy",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335484979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lutz, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2022; 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.