Jennifer Anyaugo

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH28046 Issued in FL

Practice address

4174 Grandchamp Cir
Palm Harbor, FL 34685-1095

Phone

(727) 457-7457

NPI assigned

Mar 5, 2024

Sex

Female

Sole proprietor

Yes

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": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783728000000",
    "number": "1619734555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4174 GRANDCHAMP CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851095",
            "telephone_number": "407-205-7579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4174 GRANDCHAMP CIR",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346851095",
            "telephone_number": "727-457-7457"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4109 Little Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Trinity",
            "state": "FL",
            "postal_code": "346551715",
            "country_code": "US",
            "telephone_number": "727-755-3251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3941 68th Ave N",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337816136",
            "country_code": "US",
            "telephone_number": "727-657-7761",
            "fax_number": "727-865-5178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANYAUGO",
        "first_name": "JENNIFER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2026-07-11",
        "certification_date": "2026-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH28046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Palm Harbor, FL
• Providers in Palm Harbor, 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 11, 2026; 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.