Active NPI
Olive Counseling LLC
- Professional Counselor
- St Petersburg, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- OLIVE COUNSELING LLC
- Practice address
- 1700 66TH St N # 104-312
St Petersburg, FL 33710-5544 - Phone
- (312) 883-4077
- NPI assigned
- Nov 23, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob Santhouse, EDD, LCPC
- Title
- Ceo
- Phone
- (312) 883-4077
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1700 66TH St N # 104-312
St Petersburg, FL 33710-5544
Mailing address
9978 57TH Ave N
St Petersburg, FL 33708-3428
Phone (312) 883-4077
Other practice location 1
824 17th Ave S Ste 7
Nampa, ID 83651-4781
Phone (312) 883-4077
National Provider Directory
National Provider DirectoryLocations
1700 66th St N
#104312
St Petersburg, FL 33710
Phone (312) 883-4077
824 17th Ave S
Ste 7
Nampa, ID 83651
Phone (312) 883-4077
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1745539200000",
"number": "1982208773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9978 57TH AVE N",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337083428",
"telephone_number": "312-883-4077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 66TH ST N # 104-312",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337105544",
"telephone_number": "312-883-4077"
}
],
"practiceLocations": [
{
"address_1": "824 17th Ave S Ste 7",
"address_purpose": "LOCATION",
"city": "Nampa",
"state": "ID",
"postal_code": "836514781",
"country_code": "US",
"telephone_number": "312-883-4077",
"fax_number": "208-697-5208",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "OLIVE COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-23",
"last_updated": "2025-04-25",
"certification_date": "2025-04-25",
"status": "A",
"authorized_official_last_name": "SANTHOUSE",
"authorized_official_first_name": "JACOB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "312-883-4077",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "EDD, LCPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in St Petersburg, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.