Individual provider Active NPI

Jaime Ostendorf Masotti

  • Mental Health Counselor
  • Ponte Vedra Beach, FL
National Provider Identifier
1861010027
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1708 Issued in FL
Practice address
3058 Cypress Creek Dr N
Ponte Vedra Beach, FL 32082-3018
Phone
(404) 769-3229
NPI assigned
Jul 13, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH61630483 WA
Mental Health Counselor 101YM0800X 1708 FL Primary
Mental Health Counselor 101YM0800X LMHC10001328 MA
Mental Health Counselor 101YM0800X 7192 NC

Addresses

Primary practice location

3058 Cypress Creek Dr N
Ponte Vedra Beach, FL 32082-3018

Mailing address

3058 Cypress Creek Dr N
Ponte Vedra Beach, FL 32082-3018
Phone (404) 769-3229

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

LicenseStateTypeSpecialty
1708FLMDMental Health Counselor
LMHC10001328MAMDMental Health Counselor
LH61630483WAMDMental Health Counselor
7192NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1594598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1861010027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 CYPRESS CREEK DR N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823018",
            "telephone_number": "404-769-3229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 CYPRESS CREEK DR N",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823018",
            "telephone_number": "404-769-3229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASOTTI",
        "first_name": "JAIME",
        "middle_name": "OSTENDORF",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-13",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61630483",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "1708",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MA",
            "license": "LMHC10001328",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "7192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.