JACLYN MATTHEWS (NPI# 1184160590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184160590 |
| Entity Type | Individual |
| Full Name | JACLYN MATTHEWS |
| Credential | LMHC |
| Practice Address |
3000 Gulf To Bay Blvd Ste 312 Clearwater FL 33759-4304 |
| Mailing Address |
Po Box 9478 Bradenton FL 34206-9478 |
| Practice Telephone | 7272790101 |
| Mailing Telephone | 9417824299 |
| Mailing Fax Number | 9417824301 |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2020-07-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH14728 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417496175 | Jaclyn Matthews | Behavioral Analyst | 721 N Vulcan Ave Ste 208, Encinitas, CA 92024-2191 | 2017-02-14 |
| Street Address |
3000 GULF TO BAY BLVD STE 312 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33759-4304 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487271763 | Modern Mental Health LLC | Counselor | 3000 Gulf To Bay Blvd Ste 312, Clearwater, FL 33759-4304 | 2020-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487163119 | Neil Hook, O.d. and Associates, P.a. | Optometrist | 2679 Gulf To Bay Blvd # 560-570, Clearwater, FL 33759 | 2017-09-26 |
| 1306366224 | Caitlin Elise Sullivan | Chiropractor | 3000 Gulf To Bay Blvd Ste 201, Clearwater, FL 33759 | 2017-06-21 |
| 1881018851 | Monica Adam | Counselor | 3491 Gandy Blvd., Suite 201, Pinellas Park, FLORIDA 33759 | 2014-02-12 |
| 1174868509 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Dr, Bldg 31, Clearwater, FL 33759 | 2012-12-12 |
| 1336485762 | Red River Rehabilitation | Skilled Nursing Facility | 549 Sky Harbor Drive, Clearwater, FL 33759 | 2012-12-12 |
| 1710245279 | Allison H Aschenbrenner | Physical Therapist | 2790 Gulf To Bay Boulevard, Suite C, Clearwater, FL 33759 | 2012-05-02 |
| 1538454954 | Elizabeth M Smith | Occupational Therapist | 4902 Creekside Drive Suite A, Clearwater, FL 33759 | 2011-06-14 |
| 1487886164 | Christina D Brown | Psychologist | 1700 N Mcmullen Booth Rd Ste C1, Clearwater, FL 33759 | 2009-08-14 |
| 1548408248 | Len F. Leeb | Counselor | 2641 Harbor Circle, Clearwater, FL 33759 | 2009-02-03 |
| 1750544615 | Dolphin II Diagostics Inc. | Contractor | 1700 N. Mcmullen Booth Rd Unit B-3, Clearwater, FL 33759 | 2008-07-09 |
| Find all providers in zip 33759 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629682760 | Joseph F Delgiorno | Counselor | 2370 Jamaican St Apt 20, Clearwater, FL 33763-3034 | 2020-09-05 |
| 1124638408 | Carlos Enrique Mendez | Counselor | 2690 Drew St Apt 858, Clearwater, FL 33759-3111 | 2020-08-03 |
| 1316576937 | Lavonne Jackson | Counselor | 622 S Betty Ln Apt 2, Clearwater, FL 33756-6080 | 2020-04-06 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1932626546 | Sheryl Foster | Counselor | 1106 Druid Rd S Ste 201, Clearwater, FL 33756-3807 | 2017-08-24 |
| 1346767910 | David Joshua Kent | Counselor | 2750 N Mcmullen Booth Rd Ste 102a, Clearwater, FL 33761-3362 | 2017-08-24 |
| 1437675501 | Stephani Jo Mendizabal | Counselor | 2725 Park Dr Ste 2a, Clearwater, FL 33763-1023 | 2017-08-20 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1548711054 | William Mccormack Jr. | Counselor | 2430 Estancia Blvd Ste 106, Clearwater, FL 33761-2607 | 2016-10-19 |
| 1205201613 | Joshua Roop | Counselor | 2725 Park Dr Ste 2f, Clearwater, FL 33763 | 2015-12-10 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33759 |
Please comment or provide details below to improve the information on JACLYN MATTHEWS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.