Jacqueline Neysa Buckle, M.S.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7666 Issued in FL

Practice address

3825 Henderson Blvd Ste 401
Tampa, FL 33629-5022

Phone

(727) 389-1667

Fax

(941) 240-2160

NPI assigned

Nov 7, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Behavior Coach, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
  • NPI 1316507536
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1487635520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295022",
            "telephone_number": "727-389-1667",
            "fax_number": "941-240-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3825 HENDERSON BLVD STE 401",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295022",
            "telephone_number": "727-389-1667",
            "fax_number": "941-240-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCKLE",
        "first_name": "JACQUELINE",
        "middle_name": "NEYSA",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Lynn Buck, M.D.
• Sherry Buck, CRNA
• Buckenheimer & Bulnes, D.M.D.'S P.a.
• Terry Lee Buckenheimer, DMD
• Nicole Anne Buckingham, DPT
• Dillon Thomas Buckley, M.D.
• James K Buckley, DMD
• Kassandra Buckley
• Kinley Heyns Buckley, DO
• Morgan Dawn Buckley

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.