Active NPI
John Gerard Brazill II, LMHC
- Mental Health Counselor
- Saint Petersburg, FL
National Provider Identifier
1356286595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15924
- Practice address
- 4500 3Rd St N
Saint Petersburg, FL 33703-3936 - Phone
- (772) 204-4114
- NPI assigned
- Apr 22, 2026
- Sex
- Male
- Sole proprietor
- No
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 | 15924 | FL | Primary |
Addresses
Primary practice location
4500 3Rd St N
Saint Petersburg, FL 33703-3936
Mailing address
4500 3Rd St N
Saint Petersburg, FL 33703-3936
Phone (772) 204-4114
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 |
|---|---|---|---|
| 15924 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776816000000",
"number": "1356286595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4500 3RD ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337033936",
"telephone_number": "772-204-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 3RD ST N",
"city": "SAINT PETERSBURG",
"state": "FL",
"postal_code": "337033936",
"telephone_number": "772-204-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRAZILL",
"first_name": "JOHN",
"middle_name": "GERARD",
"name_prefix": "Mr.",
"name_suffix": "II",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-22",
"last_updated": "2026-04-22",
"certification_date": "2026-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "15924",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.