Individual provider Active NPI

Jasmine Alexis Santalla

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1497541999
Registry record updated Apr 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
13911 Carrollwood Village Run
Tampa, FL 33618-2746
Phone
(352) 518-5232
NPI assigned
Apr 19, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

13911 Carrollwood Village Run
Tampa, FL 33618-2746

Mailing address

136 4TH Ave S
Safety Harbor, FL 34695-4020
Phone (609) 903-1766

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251219000514 FL Practitioner - Clinical Social Worker 8426543240 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Group practices
Tampa Bay Area CounselingGroup PAC ID 5193176006, 14 clinicians

Practice addresses (Care Compare)

3607 Alt
Suite 19
Palm Harbor, FL 34683-1412
Phone (727) 732-4305

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Area Counseling CurrentSince Sep 25, 2025 Accepting new patients
Mindmetrics PastSince May 19, 2024 Accepting new patients

Locations

3607 Alt 19
Palm Harbor, FL 34683
Phone (727) 732-4305

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.

NPI Registry JSON

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

{
    "created_epoch": "1745020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745020800000",
    "number": "1497541999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 4TH AVE S",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346954020",
            "telephone_number": "609-903-1766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13911 CARROLLWOOD VILLAGE RUN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182746",
            "telephone_number": "352-518-5232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTALLA",
        "first_name": "JASMINE",
        "middle_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-19",
        "last_updated": "2025-04-19",
        "certification_date": "2025-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.