Jenna Petrella, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MT5009 Issued in FL

Practice address

829 W Dr Martin Luther King Jr Blvd # 236
Tampa, FL 33603-3309

Phone

(813) 758-8902

NPI assigned

Aug 19, 2024

Last updated

Mar 10, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Upshaw TMS LLC

  dba NeuroSpa

  • Psychiatry Physician
  • Tampa, FL
  • NPI 1629560545
  Medicare reassignment NPD
• Neurospa TMS LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1265043434
  NPD

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1790517670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "829 W DR MARTIN LUTHER KING JR BLVD # 236",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033309",
            "telephone_number": "813-758-8902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "829 W DR MARTIN LUTHER KING JR BLVD # 236",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336033309",
            "telephone_number": "813-758-8902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETRELLA",
        "first_name": "JENNA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-19",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MT5009",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT5009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lovelie Petit Frere
• Paula Petit-Frere, BCBA
• Romilla Petit-Homme, MA
• Roselande Petithomme, RBT
• Alexandra Daniela Petre Radu, RBT
• Brittany Christin Petrilli, DO
• John Petrilli, M.D.
• Alyssa Petrino
• Terryl Ann Petropoulos, DMD
• Christopher Anthony Petrotto, DDS

• Marriage & Family Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Marriage & Family Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.