Elizabeth Ann Jaegle-Tolli, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

17034 Issued in FL

Practice address

445 31St St N
St Petersburg, FL 33713-7605

Phone

(727) 793-5774

NPI assigned

Jun 22, 2021

Last updated

Jun 28, 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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Boley Centers, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1194838839
  NPD (past)
• Donna K Dempsey Arnp PA

  • Psychiatric/Mental Health Nurse Practitioner
  • St Petersburg, FL
  • NPI 1982889341
  NPD (past)

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

{
    "created_epoch": "1624320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624838400000",
    "number": "1720657901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 34TH AVE S BLDG 6",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337053730",
            "telephone_number": "727-824-5745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 31ST ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337137605",
            "telephone_number": "727-793-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGLE-TOLLI",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-22",
        "last_updated": "2021-06-28",
        "certification_date": "2021-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "17034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Parker Jadin Cameron Jacobs, MS
• Ashley Nicole Jacobson
• Edward Charles Jacobson I, D.O.
• Jacquelyn Murolo Inc
• Jade Tree Wellness Center, Inc.
• Ramya Jagadeesh
• Bretton Jaggi, DC
• Meenakshi Jain, MD
• Ria Jain, MD
• Reetesh Kumar Jaiswal, PHARM. D.

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, 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 Jun 28, 2021; 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.