Jennifer Botelho, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH11858 Issued in FL

Practice address

801 W Bay Dr Ste 425
Largo, FL 33770-3223

Phone

(727) 365-9365

Fax

(844) 773-9456

NPI assigned

Mar 3, 2016

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.

• Tranquility Counseling LLC

  • Mental Health Counselor
  • Largo, FL
  • NPI 1821445792
  NPD (past) Authorized official

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1841650702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 425",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703223",
            "telephone_number": "727-365-9365",
            "fax_number": "844-773-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR STE 425",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703223",
            "telephone_number": "727-365-9365",
            "fax_number": "844-773-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTELHO",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH11858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Boozer, MSP, CCC-SLP
• Marissa Rose Bornhauser
• Jose D Borrego, RPH
• Maxine Pittaway Bosko, MSN, RN, FNP-C
• William Earl Boswell III
• Raoul Rudolph Botha, MD
• Amir Boules, DMD
• Gerard E Boutin, PH.D
• Ronald E. Bowers, M.D.
• Sharon Bowie

• Mental Health Counselor in Largo, FL
• Providers in Largo, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.