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NPI Code Detail

MEDICARE: JASON A VERSACE LMHC, NCC

MEDICARE: JASON A VERSACE LMHC, NCC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorMH21235FL
2101YA0400XAddiction (Substance Use Disorder) CounselorMH21235FL
3101YM0800XMental Health CounselorMH21235FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1386247690
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON A VERSACE LMHC, NCC
Provider Business Mailing Address
First Line : 100 S ASHLEY DR STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33602-5300
Country : US
Telephone Number : 217-417-2073
Fax Number : 813-726-1956
Provider Business Practice Location Address
First Line : 100 S ASHLEY DR STE 600
Second Line :
City : TAMPA
State : FL
Zip : 33602-5300
Country : US
Telephone Number : 217-417-2073
Fax Number : 813-726-1956
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2020
Last Update Date : 01/31/2026

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