Active NPI
Jennifer Melissa Vasquez
- Mental Health Counselor
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 4024 Central Ave
St Petersburg, FL 33711-1239 - Phone
- (727) 327-7656
- Fax
- (727) 322-2110
- NPI assigned
- Aug 26, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
4024 Central Ave
St Petersburg, FL 33711-1239
Mailing address
PO Box 10970
St Petersburg, FL 33733-0970
Phone (727) 327-7656
Other practice location 1
2727 W Dr Martin Luther King Jr Blvd Ste 640
Tampa, FL 33607-6399
Phone (866) 762-1743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Current | Accepting new patients | |
| Behavioral Health Management Services, Inc. | Past | Accepting new patients | |
| Behavioral Health Management Services, Inc | Mental Health | Past | Accepting new patients |
Locations
2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234
1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266
2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582
Interoperability endpoints
- jennifer.vasquezlmhc@direct.mybaycare.org
Organizations & group practices 4
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Valrico, FL
- NPI 1215403662
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1417052713
-
- Mental Health Counselor
- Tampa, FL
- NPI 1659326130
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
- NPI 1720540578
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739404800000",
"number": "1669029575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10970",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330970",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2110"
}
],
"practiceLocations": [
{
"address_1": "2727 W Dr Martin Luther King Jr Blvd Ste 640",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336076399",
"country_code": "US",
"telephone_number": "866-762-1743",
"fax_number": "727-816-1222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VASQUEZ",
"first_name": "JENNIFER",
"middle_name": "MELISSA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2025-02-13",
"certification_date": "2025-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"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 Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.