Individual provider Active NPI

Jennifer Coraggio, LMHC

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1891847778
Registry record updated Jan 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 5843 Issued in FL
Practice address
1802 N Belcher Rd Ste 102
Clearwater, FL 33765-1454
Phone
(727) 386-8900
Fax
(727) 797-8690
NPI assigned
Jan 18, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH5843 FL
Mental Health Counselor 101YM0800X MH 5843 FL Primary

Addresses

Primary practice location

1802 N Belcher Rd Ste 102
Clearwater, FL 33765-1454

Mailing address

1802 N Belcher Rd Ste 102
Clearwater, FL 33765-1454
Phone (727) 386-8900

Other identifiers 1

IdentifierTypeStateIssuer
761003300MedicaidFL

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
MH 5843FLMDMental Health Counselor
MH5843FLMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547078400000",
    "number": "1891847778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 N BELCHER RD STE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651454",
            "telephone_number": "727-386-8900",
            "fax_number": "727-797-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 N BELCHER RD STE 102",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651454",
            "telephone_number": "727-386-8900",
            "fax_number": "727-797-8690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORAGGIO",
        "first_name": "JENNIFER",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2019-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH5843",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "761003300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2019; 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.