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

JENNIFER L. THIBODEAUX, PLLC
NPI 1093246589
Psychologist - Clinical in St Petersburg, FL

Active since March 25, 2017
2429 CENTRAL AVE STE 208, ST PETERSBURG, FL 33713(727) 610-2395(727) 933-0399 Get Directions Write a Review

NPPES record last updated: September 8, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 8, 2026, Mar 25, 2017 (2 updates tracked since 2017).

About Jennifer L. Thibodeaux, Pllc NPPES

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

JENNIFER L. THIBODEAUX, PLLC (NPI 1093246589) is a healthcare organization registered as a clinical in St Petersburg, Florida and active in the NPI registry since March 2017. The organization lists Jennifer L Thibodeaux, Owner, as its authorized official.

NPPES Registry Identity

NPI1093246589
Entity TypeOrganization
Primary Taxonomy103TC0700X
Legal Business NameJENNIFER L. THIBODEAUX, PLLC
Location Address2429 CENTRAL AVE STE 208St Petersburg, FL 33713-8848
Mailing Address2429 Central Ave Ste 208St Petersburg, FL 33713-8848 · (727) 610-2395 · Fax (727) 933-0399
Fax(727) 933-0399
Organization SubpartNo
Authorized OfficialJennifer L ThibodeauxOwner · (727) 610-2395
Enumeration DateMarch 25, 2017
Last NPPES UpdateSeptember 8, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2026
✔ NPI 1093246589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in FL · PY9698
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
2429 CENTRAL AVE STE 208, St Petersburg, FL 33713

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Psychologist
2429 CENTRAL AVE STE 208
SAINT PETERSBURG, FL 33713

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 L. Thibodeaux, PLLC's NPI number?

The NPI number for Jennifer L. Thibodeaux, PLLC is 1093246589. It was assigned to this organization in the NPPES registry on March 25, 2017.

Where is Jennifer L. Thibodeaux, PLLC located?

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

What is Jennifer L. Thibodeaux, PLLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Jennifer L. Thibodeaux, PLLC was last updated on September 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 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.