Active NPI
Jennifer Lynn Schanzenbach, M.A., L.M.H.C.
- Mental Health Counselor
- St. Petersburg, FL
National Provider Identifier
1851609697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 12903
- Practice address
- 465 1St Ave North
St. Petersburg, FL 33701-3802 - Phone
- (727) 430-7885
- NPI assigned
- Sep 14, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 12903 | FL | Primary |
| Pastoral Counselor | 101YP1600X |
Addresses
Primary practice location
465 1St Ave North
St. Petersburg, FL 33701-3802
Mailing address
9365 Crestview St
Seminole, FL 33772-3041
Phone (727) 430-7885
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 12903 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1851609697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9365 CRESTVIEW ST",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337723041",
"telephone_number": "727-430-7885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 1ST AVE NORTH",
"city": "ST. PETERSBURG",
"state": "FL",
"postal_code": "337013802",
"telephone_number": "727-430-7885"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHANZENBACH",
"first_name": "JENNIFER",
"middle_name": "LYNN",
"credential": "M.A., L.M.H.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-14",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 12903",
"primary": true
},
{
"code": "101YP1600X",
"taxonomy_group": "",
"desc": "Counselor, Pastoral",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St. Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.