Individual provider Active NPI

Jason Duenas, M.A.

  • Mental Health Counselor
  • Gainesville, FL
National Provider Identifier
1942651807
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13773 Issued in FL
Practice address
4648 SW 57TH CT
Gainesville, FL 32608-0178
Phone
(281) 628-4194
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 24700 AZ
Professional Counselor 101YP2500X 75825 TX
Mental Health Counselor 101YM0800X 13773 FL Primary
Mental Health Counselor 101YM0800X 13865644-6004 UT

Addresses

Primary practice location

4648 SW 57TH CT
Gainesville, FL 32608-0178

Mailing address

4648 SW 57TH CT
Gainesville, FL 32608-0178
Phone (281) 628-4194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240704000347 FL Practitioner - Mental Health Counselor 1557805280 Reassigns benefits to 1 organization
I20240709001126 TX Practitioner - Mental Health Counselor 1557805280 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
75825TXMDProfessional Counselor
13773FLMDAssisted Living Facility

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborative Changes Counseling, LLC Mental Health CurrentSince Aug 17, 2025 Accepting new patients
Grow Healthcare Group PA Mental Health CurrentSince May 28, 2024 Accepting new patients
St. Luke'S United Methodist Church Past Accepting new patients
Shine Medical Providers PC Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

700 Milam St
Ste 1300
Houston, TX 77002
Phone (281) 801-8391

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1942651807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4648 SW 57TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080178",
            "telephone_number": "281-628-4194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4648 SW 57TH CT",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326080178",
            "telephone_number": "281-628-4194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUENAS",
        "first_name": "JASON",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "AZ",
            "license": "24700",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "75825",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "13773",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "13865644-6004",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

Verify at the official NPI Registry.