Organization Active NPI

Jillian Nazarenko, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
National Provider Identifier
1760265656
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Apr 9, 2026

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

Authorized official

Name
Jillian NazarenkoNPI 1528687431
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)CodeLicenseStatePrimary
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 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.

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.

Verify at the official NPI Registry.