Active NPI
Jaime Ostendorf Masotti
- Mental Health Counselor
- Ponte Vedra Beach, FL
National Provider Identifier
1861010027
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1708
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1708 | FL | MD | Mental Health Counselor |
| LMHC10001328 | MA | MD | Mental Health Counselor |
| LH61630483 | WA | MD | Mental Health Counselor |
| 7192 | NC | MD | General 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.