Individual provider Active NPI

Jamelle Dionne Dennis

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1558629147
Registry record updated May 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH11795 Issued in FL
Practice address
3840 5TH Ave N
St Petersburg, FL 33713
Phone
(727) 367-2273
Fax
(727) 800-6929
NPI assigned
May 2, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH11795 FL Primary

Addresses

Primary practice location

3840 5TH Ave N
St Petersburg, FL 33713

Mailing address

777 68TH Ave S
St Petersburg, FL 33705-5952
Phone (727) 543-0268

Other practice location 1

1001 16th St S
St Petersburg, FL 33705-2231
Phone (727) 543-0268

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH11795FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Caring Community Counseling Mental Health Past Accepting new patients
Caring Community Counseling LLC PastSince Mar 1, 2023 Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1335916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527206400000",
    "number": "1558629147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 68TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337055952",
            "telephone_number": "727-543-0268",
            "fax_number": "727-896-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3840 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33713",
            "telephone_number": "727-367-2273",
            "fax_number": "727-800-6929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 16th St S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337052231",
            "country_code": "US",
            "telephone_number": "727-543-0268",
            "fax_number": "727-896-1426",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "JAMELLE",
        "middle_name": "DIONNE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-02",
        "last_updated": "2018-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.