Jill Anne Cantrell

Primary specialty

CounselorTaxonomy code 101Y00000X

License

MH9928 Issued in FL

Practice address

1006 W Platt St
Tampa, FL 33606-2116

Phone

(813) 505-3956

Fax

(833) 922-1072

NPI assigned

Mar 30, 2010

Sex

Female

Sole proprietor

Yes

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 and National Provider Directory roles.

• Jill a. Cantrell, LMHC, PA

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1093209751
  NPD (past) Authorized official

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

{
    "created_epoch": "1269907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576108800000",
    "number": "1770808016",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 BURCHETTE RD UNIT 905",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471060",
            "telephone_number": "813-505-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 W PLATT ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062116",
            "telephone_number": "813-505-3956",
            "fax_number": "833-922-1072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "407 N Parsons Ave Ste 104A",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335104537",
            "country_code": "US",
            "telephone_number": "813-505-3956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "JILL",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-30",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "MH9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Canto
• Anna Cantor
• Bridget Cantrell, CRNA
• Catharine Rowena Dulcie Cantrell, MD
• Emily Elizabeth Cantrell, APRN
• John Paul Cantrell
• Raymond Joseph Cantwell, CRNA
• Bailey Canty
• Alex Duc Cao, MD
• Gabriela D Cao

• Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.