Individual provider Active NPI

Jessica L Dorey, MSW RCSWI

  • Counselor
  • Tarpon Springs, FL
National Provider Identifier
1326631995
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
15610 Issued in FL
Practice address
1501 S Pinellas Ave
Tarpon Springs, FL 34689-1955
Phone
(727) 547-3692
NPI assigned
Feb 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 15610 FL Primary

Addresses

Primary practice location

1501 S Pinellas Ave
Tarpon Springs, FL 34689-1955

Mailing address

1501 S Pinellas Ave
Tarpon Springs, FL 34689-1955
Phone (727) 219-1752

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TarponSprings

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
15610FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Alliance Behavioral Health and Development Current Accepting new patients
Elevate PD & Therapy Corp Past Accepting new patients

Organizations & group practices 2

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": "1613347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1326631995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-219-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 S PINELLAS AVE",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891955",
            "telephone_number": "727-547-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOREY",
        "first_name": "JESSICA",
        "middle_name": "L",
        "name_prefix": "Miss",
        "credential": "MSW RCSWI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-15",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "15610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TarponSprings",
            "affiliation": "N",
            "address_1": "1501 S Pinellas Ave",
            "city": "Tarpon Springs",
            "state": "FL",
            "country_code": "US",
            "postal_code": "346891955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tarpon Springs, FL

Sources for this page

Verify at the official NPI Registry.