Active NPI
Jillian Nazarenko, LLC
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clearwater, FL
National Provider Identifier
1760265656
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- JILLIAN NAZARENKO, LLC
- Practice address
- 2430 Estancia Blvd Ste 106
Clearwater, FL 33761-2607 - Phone
- (484) 222-0067
- NPI assigned
- Aug 15, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jillian Nazarenko
- Title
- Owner
- Phone
- (484) 222-0067
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
2430 Estancia Blvd Ste 106
Clearwater, FL 33761-2607
Mailing address
2430 Estancia Blvd Ste 106
Clearwater, FL 33761-2607
Other practice location 1
121 N Cedar Crest Blvd Ste A
Allentown, PA 18104-4664
Phone (484) 222-0067
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Clearwater, FL
- NPI 1528687431
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692057600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1775692800000",
"number": "1760265656",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2430 ESTANCIA BLVD STE 106",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2430 ESTANCIA BLVD STE 106",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337612607",
"telephone_number": "484-222-0067"
}
],
"practiceLocations": [
{
"address_1": "121 N Cedar Crest Blvd Ste A",
"address_purpose": "LOCATION",
"city": "Allentown",
"state": "PA",
"postal_code": "181044664",
"country_code": "US",
"telephone_number": "484-222-0067",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JILLIAN NAZARENKO, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-15",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A",
"authorized_official_last_name": "NAZARENKO",
"authorized_official_first_name": "JILLIAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "484-222-0067"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.