JENNIFER MATILLA
NPI 1821462755
Counselor - Mental Health in Tampa, FL
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jennifer Matilla 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.
Medicare Billing Reassignment
Medicare enrollment records show Jennifer Matilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Orange Park, FL 32073
- Reassigned Medicare billing, Florida enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Jennifer Matilla's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jennifer Matilla reassigns Medicare benefits to Jem Therapy Services, LLC (Orange Park, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jennifer Matilla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jennifer Matilla accept?
Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Jennifer Matilla · NPI 1821462755
Mental Health provider in Tampa, Florida. Individual provider, active in the CMS NPPES registry since November 16, 2015.
## Identity
- **NPI:** 1821462755 (Entity type: Individual)
- **Enumerated:** November 16, 2015
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** MH 13534 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 6507 GUNN HWY, Tampa, FL 33625-4021
- **Phone:** (813) 374-2070 · **Fax:** (813) 489-4347
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Jem Therapy Services, LLC (NPI 1558048405, Orange Park, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** November 16, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1821462755) · Data from the CMS NPPES public registry.