Organization Active NPI

Olive Counseling LLC

  • Professional Counselor
  • St Petersburg, FL
National Provider Identifier
1982208773
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
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

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Dr. Jacob Santhouse, EDD, LCPCNPI 1689285892
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)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.