Individual provider Active NPI

Jessica Ohara, MFTRI

  • Marriage & Family Therapist
  • Oldsmar, FL
National Provider Identifier
1407525488
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMT3693 Issued in FL
Practice address
140 Pine Ave N
Oldsmar, FL 34677-4629
Phone
(813) 343-0436
NPI assigned
Sep 13, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMT3693 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

140 Pine Ave N
Oldsmar, FL 34677-4629

Mailing address

14523 Weeping Elm Dr
Tampa, FL 33626-3036

Other practice location 1

3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411
Phone (727) 238-5821

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

LicenseStateTypeSpecialty
IMT3693FLMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Therapies LLC Current Accepting new patients
Loving Care Pediatric Therapy CurrentSince Nov 20, 2022 Accepting new patients
Revive to Thrive Therapies Marriage & Family Therapist PastSince Feb 12, 2023 Accepting new patients

Locations

140 Pine Ave N
Oldsmar, FL 34677
Phone (813) 343-0436

Organizations & group practices 3

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": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1407525488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14523 WEEPING ELM DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336263036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 PINE AVE N",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346774629",
            "telephone_number": "813-343-0436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3450 E Lake Rd Ste 307",
            "address_purpose": "LOCATION",
            "city": "Palm Harbor",
            "state": "FL",
            "postal_code": "346852411",
            "country_code": "US",
            "telephone_number": "727-238-5821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OHARA",
        "first_name": "JESSICA",
        "name_prefix": "Mrs.",
        "credential": "MFTRI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-13",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "IMT3693",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.