JOMON JOHN THEKKETHOTTIYIL
NPI 1023376894
Social Worker - Clinical in St Petersburg, FL

Active since April 30, 2012PECOS EnrolledAccepts Medicare Assignment
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656 Get Directions Write a Review

NPPES record last updated: June 18, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jomon John Thekkethottiyil NPPES

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

JOMON JOHN THEKKETHOTTIYIL (NPI 1023376894) is an individual clinical provider in St Petersburg, Florida, licensed in Florida (SW10806) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1023376894
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameJOMON JOHN THEKKETHOTTIYIL
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing Address3835 Misty Landing DrValrico, FL 33594-4802 · (727) 424-8423
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateApril 30, 2012
Last NPPES UpdateJune 18, 2012
NPI 1023376894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in FL · SW10806
Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselorTaxonomy 101Y00000X · License SW10806 (FL)
4024 CENTRAL AVE, St Petersburg, FL 33711

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 and accepts Medicare assignment

Jomon John Thekkethottiyil is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022253897
PECOS Enrollment IDI20130327000146
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 3

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, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
765 services73 patients
Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
333 services47 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.
29 services29 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33711 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $56.00 – $171.84
Typical copayment $0.00 (range $14.00 – $42.96)
Most-billed visit code NA
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Mental Health)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Marriage & Family Therapist
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Mental Health)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Counselor (Mental Health)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711

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 Jomon Thekkethottiyil's NPI number?

The NPI number for Jomon Thekkethottiyil is 1023376894. It was assigned to this individual provider in the NPPES registry on April 30, 2012.

Where is Jomon Thekkethottiyil located?

Jomon Thekkethottiyil practices at 4024 Central Ave, St Petersburg, FL 33711. The listed phone number is (727) 327-7656.

What is Jomon Thekkethottiyil's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jomon Thekkethottiyil enrolled in Medicare?

Yes. Jomon Thekkethottiyil is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jomon Thekkethottiyil accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama and Oscar Health Maintenance Organization of Florida list Jomon Thekkethottiyil 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 Jomon Thekkethottiyil was last updated on June 18, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.