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LA TASHA AL-JARBOUA PA-C
NPI 1588078000
Psychiatry & Neurology - Child & Adolescent Psychiatry in St Petersburg, FL

Active since June 12, 2014PECOS EnrolledAccepts Medicare Assignment
9800 4TH ST N STE 200, ST PETERSBURG, FL 33702(833) 399-0957(727) 335-1174 Get Directions Write a Review

NPPES record last updated: November 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About La Tasha Al-jarboua Pa-c NPPES

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

LA TASHA AL-JARBOUA PA-C (NPI 1588078000) is an individual child & adolescent psychiatry provider in St Petersburg, Florida, licensed in California (54234) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gatesville, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1588078000
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameLA TASHA AL-JARBOUACredential: PA-C
Location Address9800 4TH ST N STE 200St Petersburg, FL 33702-2462
Mailing Address9800 4th St N Ste 200St Petersburg, FL 33702-2462 · (833) 399-0957 · Fax (727) 335-1174
Phone(833) 399-0957
Fax(727) 335-1174
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 12, 2014
Last NPPES UpdateNovember 17, 2020
NPPES CertifiedNovember 17, 2020
✔ NPI 1588078000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
Licenses✔ Licensed in CA · 54234✔ Licensed in NC · 0010-04854
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 54234 (CA), 0010-04854 (NC)
Also ListedPhysician AssistantTaxonomy 363A00000X · License 54234 (CA), 0010-04854 (NC)
9800 4TH ST N STE 200, St Petersburg, FL 33702
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Secondary Practice Location 1

Location 1501 Main StGatesville, NC 27938-9424 · Phone (252) 357-1226 · Fax (252) 357-1236

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.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

La Tasha Al-jarboua Pa-c 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 ID4082930441
PECOS Enrollment IDI20211005003649
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.

Other Providers at the Same Location NPPES 11

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

MISS JOANN JARDIO MA
Counselor
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702
Pinellas County (727) 916-8215
CONNECTION BEHAVIORAL HEALTH
Nurse Practitioner (Psychiatric/Mental Health)
9800 4TH ST N STE 200
ST PETERSBURG, FL 33702
Pinellas County (727) 251-5470
DR. TIFFANY CHENNEVILLE PHD
Psychologist
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702
Pinellas County (727) 644-5911
TLC HOMECARE & SENIOR SERVICES INC
Nursing Care
9800 4TH ST N STE 200
ST PETERSBURG, FL 33702
Pinellas County (727) 900-5403
DRBEV MENTAL HEALTH COUNSELING LLC
Counselor (Mental Health)
9800 4TH ST N STE 200
ST PETERSBURG, FL 33702
Pinellas County (727) 201-5460
MISS MARY KATHRYN PARHAM FNP, PMHNP, APRN
Nurse Practitioner (Psychiatric/Mental Health)
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702
Pinellas County (727) 266-8895
BEAUTIFUL MINDS AND HARMONY COUNSELING
Psychologist (Counseling)
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702
Pinellas County (727) 916-8215
CARLINE DESIR APRN
Nurse Practitioner (Psychiatric/Mental Health)
9800 4TH ST N STE 200
SAINT PETERSBURG, FL 33702
Pinellas County (727) 201-5470

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 La Tasha Al-jarboua's NPI number?

The NPI number for La Tasha Al-jarboua is 1588078000. It was assigned to this individual provider in the NPPES registry on June 12, 2014.

Where is La Tasha Al-jarboua located?

La Tasha Al-jarboua practices at 9800 4th St N Ste 200, St Petersburg, FL 33702. The listed phone number is (833) 399-0957.

What is La Tasha Al-jarboua's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is La Tasha Al-jarboua enrolled in Medicare?

Yes. La Tasha Al-jarboua 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 La Tasha Al-jarboua accept?

Health plans from Blue Cross and Blue Shield of NC list La Tasha Al-jarboua 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 La Tasha Al-jarboua was last updated on November 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.