Teresa Jacquemoud

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

PMT306 Issued in FL

Practice address

2963 Gulf to Bay Blvd Ste 320
Clearwater, FL 33759-4286

Phone

(727) 241-8800

NPI assigned

Nov 27, 2024

Last updated

Nov 27, 2024By 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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1732665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1558187146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2963 GULF TO BAY BLVD STE 320",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594286",
            "telephone_number": "727-241-8808",
            "fax_number": "727-241-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 GULF TO BAY BLVD STE 320",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594286",
            "telephone_number": "727-241-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACQUEMOUD",
        "first_name": "TERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-27",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "PMT306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shanel Loree Jackson, P.T.
• Dominique Leticia Jacobs
• Stephen H Jacobs, MD
• Ronald Jacobson, MD
• Jacqueline Hubbard, M.D., PLLC
• Mary Elizabeth Jaeger, FNP-C
• Shelley Jaffe, LMT
• Jaime L. Friedman, LLC
• Victoria Beatriz Jais, LCSW
• Marykate Jalo

• Marriage & Family Therapist in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.