Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JENNIFER THIBODEAUX PH.D.
NPI 1013467919
Psychologist in Saint Petersburg, FL

Active since October 04, 2016PECOS Enrolled
2429 CENTRAL AVE STE 208, SAINT PETERSBURG, FL 33713(727) 610-2395 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 25, 2026, Dec 20, 2025, Aug 13, 2018 (3 updates tracked since 2018).

About Jennifer Thibodeaux Ph.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIFER THIBODEAUX PH.D. (NPI 1013467919) is an individual psychologist in Saint Petersburg, Florida, licensed in Florida (PY9698) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in Clearwater, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1013467919
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameJENNIFER THIBODEAUXCredential: PH.D.
Location Address2429 CENTRAL AVE STE 208Saint Petersburg, FL 33713-8848
Mailing Address2429 Central Ave Ste 208St Petersburg, FL 33713-8848 · (727) 610-2395 · Fax (727) 933-0399
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 4, 2016
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
NPI 1013467919 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License Licensed in FL · PY9698
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
2429 CENTRAL AVE STE 208, Saint Petersburg, FL 33713

Secondary Practice Location 1

Location 13000 Gulf To Bay Blvd Ste 300Clearwater, FL 33759-4304 · Phone (727) 222-5821

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jennifer Thibodeaux Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739469552
PECOS Enrollment IDI20161213000434
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
237 services22 patients
Evaluation of psychological test, each additional hour 96131
This service involves additional hours spent on assessing psychological tests. It helps to understand your mental health better, identifying any potential issues or disorders. It's a crucial step in creating an effective treatment plan.
35 services11 patients
Administration of psychological or neuropsychological test, each additional 30 minutes 96137
This procedure involves administering psychological or neuropsychological tests to evaluate your mental functions. Each additional 30 minutes allows for a more in-depth assessment of your cognitive abilities, emotions, and behavior. It's crucial for accurate diagnosis and treatment planning.
35 services11 patients
Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
18 services18 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
12 services12 patients
Evaluation of psychological test, first hour 96130
This procedure involves a professional assessing your mental health using standardized tests. It's the initial hour of a process that helps understand your emotional well-being and cognitive abilities. It's completely non-invasive and confidential.
11 services11 patients

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennifer Thibodeaux's NPI number?

The NPI number for Jennifer Thibodeaux is 1013467919. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Jennifer Thibodeaux located?

Jennifer Thibodeaux practices at 2429 Central Ave Ste 208, Saint Petersburg, FL 33713. The listed phone number is (727) 610-2395.

What is Jennifer Thibodeaux's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Jennifer Thibodeaux enrolled in Medicare?

Yes. Jennifer Thibodeaux is registered in the Medicare PECOS enrollment system.

What insurance does Jennifer Thibodeaux accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Jennifer Thibodeaux as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Thibodeaux was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.