JASON ROBERT KLOSS (NPI# 1114565546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114565546 |
| Entity Type | Individual |
| Full Name | JASON ROBERT KLOSS |
| Credential | LMHC, NCC, CCMHC |
| Practice Address |
4601 9th Ave N Saint Petersburg FL 33713-6120 |
| Practice Telephone | 7273081330 |
| Mailing Telephone | 7273081330 |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2019-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | MH17587 | FL | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11254 58th St N, Pinellas Park, FL 337822213 | 7275456477 |
| Street Address |
4601 9TH AVE N |
| City | SAINT PETERSBURG |
| State | FL |
| Zip Code | 33713-6120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073122230 | Busy Bee Aba Therapy LLC | Assistant Behavior Analyst | 441 33rd Street North #407, St. Petersburg, FL 33713 | 2020-07-23 |
| 1902428899 | Taylor Lorraine Fowler | Behavior Technician | 7381 114th Ave, Suite 405 Largo Fl 33773, Suite 405, St. Petersburg, FL 33713 | 2020-05-13 |
| 1770120180 | Mai Family and Sedation Dentistry, Pa | Dentist | 495 31st Street North, St. Petersburg, FL 33713 | 2019-12-04 |
| 1932672524 | Julie Marlowe Gilbert | Dermatology | 2191 9th Ave North, Ste. 100, St. Petersburg, FL 33713 | 2019-01-07 |
| 1962992024 | Lauren Elizabeth Oloughlin | Nurse Practitioner | 1001 37th St N Ste C, St Petersburg, FL 33713 | 2018-05-15 |
| 1447766316 | Melanie Marie Byrne | Assistant Behavior Analyst | 5185 45th St N, Bldg C, St. Petersburg, FL 33713 | 2017-12-14 |
| 1942679683 | Teresa E Peak | Physician Assistant | 2191 9th Ave N St 220, St. Petersburg, FL 33713 | 2015-09-23 |
| 1639555204 | Priya Panara | Internal Medicine | 2299 9th Ave N Ste 1f, St Petersburg, FL 33713 | 2015-08-06 |
| 1730568635 | Kevin Michael Carbonell | Dentist | 3863 Central Avenue, Saint Petersburg, FL 33713 | 2015-05-26 |
| 1558752972 | Sage Program, LLC | Community/Behavioral Health | 3530 1st Avenue North, Suite 111, St. Petersbrug, FL 33713 | 2015-02-06 |
| Find all providers in zip 33713 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225390313 | Brizaida Montanez-ortiz | Counselor | 3822 Central Ave, Saint Petersburg, FL 33711-1237 | 2012-06-13 |
| 1588947410 | Aru Richardson | Counselor | 555 31st Street South, Saint Petersburg, FL 33712 | 2011-09-27 |
| 1235369737 | Alex C Milov | Counselor | 463 43rd Ave Ne, Saint Petersburg, FL 33703-5015 | 2009-07-17 |
| 1134371396 | Nicole Sylvain | Counselor | 2510 1st Ave S, Saint Petersburg, FL 33712-1106 | 2008-10-21 |
| 1366634115 | Angeline Mary Howell | Counselor | 4010 Central Avenue, Saint Petersburg, FL 33711-1239 | 2007-08-15 |
| 1063624765 | Yvette A. Montsho | Counselor | 5210 3rd Ave S, Saint Petersburg, FL 33707-1808 | 2007-05-04 |
| 1194827154 | Wanda Ivette Orriola | Counselor | 3551 42nd Avenue South, Ste B103, Saint Petersburg, FL 33711 | 2006-09-01 |
| 1558982264 | Teletherapy Solutions LLC | Counselor | 9887 4th St N Ste 319, Saint Petersburg, FL 33702-8445 | 2020-05-04 |
| 1679921688 | Lazara Suarez Moya | Counselor | 3840 5th Ave N, Saint Petersburg, FL 33713-7521 | 2016-05-31 |
| 1558797357 | Jura Philpot | Counselor | 647 34th Ave S, Saint Petersburg, FL 33705-3730 | 2013-09-25 |
| Find all providers in SAINT PETERSBURG | ||||
| City | SAINT PETERSBURG |
| Zip Code | 33713 |
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| 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.