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MS. JENNIFER MELISSA VASQUEZ
NPI 1669029575
Counselor - Mental Health in St Petersburg, FL

Active since August 26, 2019PECOS Enrolled
4024 CENTRAL AVE, ST PETERSBURG, FL 33711(727) 327-7656(727) 322-2110 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 13, 2025, Jan 13, 2023, Aug 26, 2019 (3 updates tracked since 2019).

About Ms. Jennifer Melissa Vasquez NPPES

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

MS. JENNIFER MELISSA VASQUEZ (NPI 1669029575) is an individual mental health provider in St Petersburg, Florida and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1669029575
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. JENNIFER MELISSA VASQUEZ
Location Address4024 CENTRAL AVESt Petersburg, FL 33711-1239
Mailing AddressPo Box 10970St Petersburg, FL 33733-0970 · (727) 327-7656 · Fax (727) 322-2110
Phone(727) 327-7656
Fax(727) 322-2110
Sole ProprietorNo
Enumeration DateAugust 26, 2019
Last NPPES UpdateFebruary 13, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1669029575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
4024 CENTRAL AVE, St Petersburg, FL 33711
Open in Google Maps ↗

Secondary Practice Location 1

Location 12727 W Dr Martin Luther King Jr Blvd Ste 640Tampa, FL 33607-6399 · Phone (866) 762-1743 · Fax (727) 816-1222

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Jennifer Melissa Vasquez 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.

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.

MS. KESHA B. BAKER CM
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
SHIELA LUANNE HAMMOND
Social Worker
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
CHRISTOPHER WEST
Case Manager/Care Coordinator
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 300-0063
LYTEASA SHAWNEA WEEKS
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
GERALD BASKIN
Counselor
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
BRIAN BROLSMA
Case Manager/Care Coordinator
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656
WALTER B BLAKE
Counselor (Mental Health)
4024 CENTRAL AVE
SAINT PETERSBURG, FL 33711
Pinellas County (727) 327-7656
JOMON JOHN THEKKETHOTTIYIL
Social Worker (Clinical)
4024 CENTRAL AVE
ST PETERSBURG, FL 33711
Pinellas County (727) 327-7656

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 Vasquez's NPI number?

The NPI number for Jennifer Vasquez is 1669029575. It was assigned to this individual provider in the NPPES registry on August 26, 2019.

Where is Jennifer Vasquez located?

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

What is Jennifer Vasquez's specialty?

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

Is Jennifer Vasquez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Jennifer Vasquez was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.