NPIMap

Organization Active NPI

Dr. Jill, Inc.

  • Community/Behavioral Health Agency
  • Apollo Beach, FL
National Provider Identifier
1750771341
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MH9718 Issued in FL
Legal business name
DR. JILL, INC.
Practice address
708 Kingston CT
Apollo Beach, FL 33572-2429
Phone
(813) 419-1745
Fax
(813) 922-6607
NPI assigned
Feb 3, 2015
Last updated
Feb 3, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Authorized official

Name
Dr. Jill Hinegardner, PHD, LMHCNPI 1518103217
Title
Principal/Owner
Phone
(813) 220-8192

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MH9718 FL Primary

Addresses

Primary practice location

708 Kingston CT
Apollo Beach, FL 33572-2429

Mailing address

708 Kingston CT
Apollo Beach, FL 33572-2429
Phone (813) 419-1745

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1422921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422921600000",
    "number": "1750771341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "708 KINGSTON CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722429",
            "telephone_number": "813-419-1745",
            "fax_number": "813-922-6607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 KINGSTON CT",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335722429",
            "telephone_number": "813-419-1745",
            "fax_number": "813-922-6607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JILL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-03",
        "last_updated": "2015-02-03",
        "status": "A",
        "authorized_official_last_name": "HINEGARDNER",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "PRINCIPAL/OWNER",
        "authorized_official_telephone_number": "813-220-8192",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LMHC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "FL",
            "license": "MH9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apollo Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2015; 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.