Jeannette G Alcantara, MA, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19487 Issued in FL

Practice address

316 E Bloomingdale Ave
Brandon, FL 33511-8155

Phone

(813) 641-4410

Fax

(813) 537-8580

NPI assigned

Jul 19, 2019

Last updated

Jul 19, 2021By the provider in NPPES

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

Opted out of Medicare

Yes, effective May 22, 2024 through May 22, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Renewed Integrative Wellness LLC

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1699348797
  NPD Authorized official
• Renewed Integrative Counseling

  • Mental Health Counselor
  • Riverview, FL
  • NPI 1144988080
  NPD
• Restorative Counseling Center, LLC

  • Mental Health Counselor
  • Brandon, FL
  • NPI 1386269355
  NPD (past)

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1538712476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10723 BANFIELD DR",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797781",
            "telephone_number": "813-641-4410",
            "fax_number": "813-537-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E BLOOMINGDALE AVE",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335118155",
            "telephone_number": "813-641-4410",
            "fax_number": "813-537-8580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALCANTARA",
        "first_name": "JEANNETTE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "MA, LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan D. Shoopak, D.M.D., P.a. (Orthodontic Specialists of Florida)
• Rene A Alarcon, MD
• Albertsons LLC (Super Saver Savon Pharmacy)
• Katie Nicole Albright, PA-C
• Kaleb Cameron Albritton
• Diane Theresa Alceste, APRN, FNP-C
• Omar Alchatti, MD
• Sharon S Aldrich, LMT, MMP
• Breanna D. Alewine, PTA
• Avin Alex

• Mental Health Counselor in Brandon, FL
• Providers in Brandon, 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 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.