Active NPI
Jodi Apollo Desciscio, LMHC
- Professional Counselor
National Provider Identifier
1851688659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LMHC 1549
- Practice address
- 333 S. Plant Ave.
Tampa, FL 33606
UM - Phone
- (813) 817-2709
- Fax
- (813) 250-3511
- NPI assigned
- Jun 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LMHC 1549 | FL | Primary |
Addresses
Primary practice location
333 S. Plant Ave.
Tampa, FL 33606
UM
Mailing address
12309 Cloverstone Dr
Tampa, FL 33624-5730
Phone (813) 817-2709
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMHC 1549 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Four Winds Counseling LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Tampa, FL
- NPI 1417514720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1309392000000",
"number": "1851688659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12309 CLOVERSTONE DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336245730",
"telephone_number": "813-817-2709",
"fax_number": "813-968-7370"
},
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "LOCATION",
"address_type": "FGN",
"address_1": "333 S. PLANT AVE.",
"city": "TAMPA",
"state": "FL",
"postal_code": "33606",
"telephone_number": "813-817-2709",
"fax_number": "813-250-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESCISCIO",
"first_name": "JODI",
"middle_name": "APOLLO",
"name_prefix": "Ms.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-30",
"last_updated": "2011-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "LMHC 1549",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.