JENELLE COOLIDGE MS
NPI 1558776880
Counselor - Mental Health in Orlando, FL

Q: What is Jenelle Coolidge's NPI number?

The NPI number for Jenelle Coolidge is 1558776880. It was assigned to this individual provider in the NPPES registry on June 25, 2014. The provider is also known as Jenelle Patricia Gonzalez, Banaszak Ms.

Q: What is Jenelle Coolidge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Jenelle Coolidge was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since June 25, 2014PECOS Enrolled

6644 VINELAND RD, SUITE 270, ORLANDO, FL 32819(253) 310-3910 Get Directions Write a Review

NPPES record last updated: September 19, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 19, 2022, Mar 10, 2022, Jan 31, 2022 (3 updates tracked since 2022).

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About Jenelle Coolidge Ms NPPES

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

JENELLE COOLIDGE MS (NPI 1558776880) is an individual mental health provider in Orlando, Florida, licensed in Florida (MH21266) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1558776880

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameJENELLE COOLIDGECredential: MS

Location Address6644 VINELAND RD, SUITE 270Orlando, FL 32819

Mailing Address6645 Vineland Rd Ste 270Orlando, FL 32819-7840 · (253) 310-3910

Phone(253) 310-3910

Sole ProprietorYes

Enumeration DateJune 25, 2014

Last NPPES UpdateSeptember 19, 20223 updates tracked since enumeration

NPPES CertifiedSeptember 19, 2022

✔ NPI 1558776880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Licenses✔ Licensed in FL · MH21266✔ Licensed in FL · IMH19534

6644 VINELAND RD, Orlando, FL 32819

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Other Names 1

Former Name (1)Jenelle Patricia Gonzalez, Banaszak Ms

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and more.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)

Jenelle Coolidge Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Jenelle Coolidge's NPI number?

The NPI number for Jenelle Coolidge is 1558776880. It was assigned to this individual provider in the NPPES registry on June 25, 2014. The provider is also known as Jenelle Patricia Gonzalez, Banaszak Ms.

Where is Jenelle Coolidge located?

Jenelle Coolidge practices at 6644 Vineland Rd Suite 270, Orlando, FL 32819. The listed phone number is (253) 310-3910.

What is Jenelle Coolidge's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Jenelle Coolidge enrolled in Medicare?

Yes. Jenelle Coolidge is registered in the Medicare PECOS enrollment system.

What insurance does Jenelle Coolidge accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida, Providence Health Plan and UnitedHealthcare list Jenelle Coolidge 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 Jenelle Coolidge was last updated on September 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.