Active NPI
Crystal Jaramillo, MA, LMHC
- Mental Health Counselor
- Bradenton, FL
National Provider Identifier
1477374361
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20988
- Practice address
- 9050 58TH Dr E
Bradenton, FL 34202-6104 - Phone
- (941) 907-0525
- Fax
- (941) 462-2968
- NPI assigned
- Oct 23, 2024
- Last updated
- Nov 2, 2025
- Sex
- Female
- 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 | MH20988 | FL | Primary |
Addresses
Primary practice location
9050 58TH Dr E
Bradenton, FL 34202-6104
Mailing address
2822 Gypsy St
Sarasota, FL 34231-6313
Phone (941) 726-6740
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, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9050 58TH Dr E
Bradenton, FL 34202-6104
Phone (941) 907-0525
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctor Q Inc | Current | Accepting new patients |
Locations
9050 58th Dr E
Lakewood Ranch, FL 34202
Phone (941) 907-0525
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1729641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762041600000",
"number": "1477374361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2822 GYPSY ST",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342316313",
"telephone_number": "941-726-6740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9050 58TH DR E",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342026104",
"telephone_number": "941-907-0525",
"fax_number": "941-462-2968"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JARAMILLO",
"first_name": "CRYSTAL",
"credential": "MA, LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-10-23",
"last_updated": "2025-11-02",
"certification_date": "2025-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20988",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2025; 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.