Individual provider Active NPI

Deidre Jones, MA

  • Mental Health Counselor
  • Sarasota, FL
National Provider Identifier
1245852136
Registry record updated May 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13083 Issued in FL
Practice address
419 Parkland Ave
Sarasota, FL 34232-1558
Phone
(941) 961-2964
NPI assigned
May 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2020

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 13083 FL Primary

Addresses

Primary practice location

419 Parkland Ave
Sarasota, FL 34232-1558

Mailing address

419 Parkland Ave
Sarasota, FL 34232-1558
Phone (941) 961-2964

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250610003288 PA Practitioner - Mental Health Counselor 0749790509 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashley Gemberling LLCGroup PAC ID 1153767017, 2 clinicians

Practice addresses (Care Compare)

11 Reitz Blvd
Suite 203
Lewisburg, PA 17837-9293
Phone (570) 435-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
13083FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ashley Gemberling LLC CurrentSince Jul 21, 2025 Accepting new patients

Locations

11 Reitz Blvd
Ste 203
Lewisburg, PA 17837
Phone (570) 412-1834

260 Reitz Blvd
Ste 1B
Lewisburg, PA 17837
Phone (570) 435-1834

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1245852136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 PARKLAND AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321558",
            "telephone_number": "941-961-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 PARKLAND AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342321558",
            "telephone_number": "941-961-2964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DEIDRE",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-13",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.