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JENNIFER MATILLA
NPI 1821462755
Counselor - Mental Health in Tampa, FL

Active since November 16, 2015PECOS Enrolled
6507 GUNN HWY, TAMPA, FL 33625(813) 374-2070(813) 489-4347 Get Directions Write a Review

NPPES record last updated: November 16, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennifer Matilla NPPES

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

JENNIFER MATILLA (NPI 1821462755) is an individual mental health provider in Tampa, Florida, licensed in Florida (MH 13534) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1821462755
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJENNIFER MATILLA
Location Address6507 GUNN HWYTampa, FL 33625-4021
Mailing Address11651 Sw 64th AveMiami, FL 33156 · (239) 654-1757
Phone(813) 374-2070
Fax(813) 489-4347
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 16, 2015
✔ NPI 1821462755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · MH 13534
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License LPC37PC0024280 (NJ)
6507 GUNN HWY, Tampa, FL 33625
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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), Molina Healthcare.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)

Jennifer Matilla is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4789188855
PECOS Enrollment IDI20250920000689
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.

BIANCA RIHOLM
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 374-2070
EVAN ANN SKELTON BCBA
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 374-2070
MS. SARAH JEAN HOUSLEY B.A.
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 374-2070
ERICA BOCCUMINI
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 445-4307
JORDAN BACON GRAVELINE
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 445-4307
TIFFANY BURDEN
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 445-4307
KATHERINE CAMERON
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 445-4307
DANIELLE HAWKINS
Behavior Analyst
6507 GUNN HWY
TAMPA, FL 33625
Hillsborough County (813) 445-4307

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 Matilla's NPI number?

The NPI number for Jennifer Matilla is 1821462755. It was assigned to this individual provider in the NPPES registry on November 16, 2015.

Where is Jennifer Matilla located?

Jennifer Matilla practices at 6507 Gunn Hwy, Tampa, FL 33625. The listed phone number is (813) 374-2070.

What is Jennifer Matilla's specialty?

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

Is Jennifer Matilla enrolled in Medicare?

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

What insurance does Jennifer Matilla accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare list Jennifer Matilla 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 Jennifer Matilla was last updated on November 16, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.