Individual provider Active NPI

Jasmine Haynes, LMHC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1992670517
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH26892 Issued in FL
Practice address
7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210
Phone
(813) 538-0149
NPI assigned
Oct 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH26892 FL Primary

Addresses

Primary practice location

7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210

Mailing address

7819 N Dale Mabry Hwy Ste 108
Tampa, FL 33614-3210

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20251209001035 FL Practitioner - Mental Health Counselor 9133613011 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2717 SE 45TH Ave
Ocala, FL 34480-1617

7819 N Dale Mabry Hwy
Suite 108
Tampa, FL 33614-3210

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH26892FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Moments, LLC CurrentSince Nov 25, 2025 Accepting new patients

Locations

7819 N Dale Mabry Hwy
Ste 108
Tampa, FL 33614
Phone (813) 308-9449

Organizations & group practices 1

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": "1759708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1992670517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7819 N DALE MABRY HWY STE 108",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7819 N DALE MABRY HWY STE 108",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336143210",
            "telephone_number": "813-538-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYNES",
        "first_name": "JASMINE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH26892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.