Active NPI
Jill R St Aubin, LMHC
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1306083068
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH5811
- Practice address
- 2872 57TH St N
St Petersburg, FL 33710-2570 - Phone
- (727) 709-6962
- Fax
- (727) 344-8786
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH5811 | FL | Primary |
Addresses
Primary practice location
2872 57TH St N
St Petersburg, FL 33710-2570
Mailing address
2872 57TH St N
St Petersburg, FL 33710-2570
Phone (727) 709-6962
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 679992296 | Other | FL | MEDICAID WAIVER |
| 679992298 | Other | FL | MEDICAID WAIVER |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH5811 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Better Living Mental Health Services, Inc | Mental Health | Past | Accepting new patients |
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.
-
dba DBA Jill St Aubin LMHC
- Mental Health Counselor
- St Petersburg, FL
- NPI 1366558330
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1306083068",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2872 57TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337102570",
"telephone_number": "727-709-6962",
"fax_number": "727-344-8786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2872 57TH ST N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337102570",
"telephone_number": "727-709-6962",
"fax_number": "727-344-8786"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST AUBIN",
"first_name": "JILL",
"middle_name": "R",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH5811",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "679992296",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "679992298",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.