Active NPI
Jason A Versace, LMHC, NCC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1386247690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH21235
- Practice address
- 100 S Ashley Dr Ste 600
Tampa, FL 33602-5300 - Phone
- (217) 417-2073
- Fax
- (813) 726-1956
- NPI assigned
- Nov 18, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | MH21235 | FL | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | MH21235 | FL | |
| Mental Health Counselor | 101YM0800X | MH21235 | FL | Primary |
Addresses
Primary practice location
100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Mailing address
100 S Ashley Dr Ste 600
Tampa, FL 33602-5300
Phone (217) 417-2073
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
Tampa, FL 33602
Phone (217) 417-2073
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21235 | FL | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psi Wellness Inc | Mental Health | Current | Accepting new patients |
| Neuropsychiatric Institute, LLC | Current | Accepting new patients |
Locations
4107 W Spruce St
Ste 100
Tampa, FL 33607
Phone (813) 636-8811
100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218
Networks
- Freedom Health HMO Network
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1184900631
-
- Mental Health Counselor
- Tampa, FL
- NPI 1033074786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769817600000",
"number": "1386247690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 S ASHLEY DR STE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025300",
"telephone_number": "217-417-2073",
"fax_number": "813-726-1956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 S ASHLEY DR STE 600",
"city": "TAMPA",
"state": "FL",
"postal_code": "336025300",
"telephone_number": "217-417-2073",
"fax_number": "813-726-1956"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERSACE",
"first_name": "JASON",
"middle_name": "A",
"credential": "LMHC, NCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-11-18",
"last_updated": "2026-01-31",
"certification_date": "2026-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "MH21235",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "MH21235",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH21235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.