Jeanette Kunselman-Issa, LMHC, MCAP

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH12145 Issued in FL

Practice address

4422 E Columbus Dr
Tampa, FL 33605-3233

Phone

(813) 384-4124

NPI assigned

Dec 1, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jeanette.kunselman-issa@direct.mybaycare.org

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.

• Behavioral Health Management Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clearwater, FL
  • NPI 1417052713
  Medicare reassignment NPD
• Behavioral Health Management Services, Inc

  • Mental Health Counselor
  • Tampa, FL
  • NPI 1659326130
  NPD
• Behavioral Health Management Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Valrico, FL
  • NPI 1215403662
  NPD
• Psychological Assessment and Treatment Services LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1447421383
  NPD (past)

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1922376243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12041 GRAND KEMPSTON DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335345367",
            "telephone_number": "941-586-2361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4422 E COLUMBUS DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336053233",
            "telephone_number": "813-384-4124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNSELMAN-ISSA",
        "first_name": "JEANETTE",
        "name_prefix": "Ms.",
        "credential": "LMHC, MCAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-01",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010581900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Suresh Kumar, M.D.
• Anjum Kumbkarni, MD
• Yuvraj K. Kumbkarni, M.D.
• Todd R Kumm, MD
• Hayley Kunde
• Tiffany Kuntz
• Melanie Anne Kunzweiler, MS CCC SLP
• Chungliang Victor Kuo
• James Kuo, PT, DPT
• Kevin Kuo, D.D.S.

• Mental Health Counselor in Tampa, FL
• Providers in Tampa, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.