MEDICARE: HANNAH JELINEK MS, MT-BC, RMHCI

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
1	171W00000X	Contractor		FL
2	225A00000X	Music Therapist		FL
3	101YM0800X	Mental Health Counselor	IMH25298	FL

General Provider Information

NPI Number	:	1841884038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH JELINEK MS, MT-BC, RMHCI

Provider Business Mailing Address
First Line	:	5227 OLD TRENTON LN
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34232-6110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7221 DELAINEY CT
Second Line	:
City	:	LAKEWOOD RANCH
State	:	FL
Zip	:	34240-8440
Country	:	US
Telephone Number	:	719-966-9094
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2021
Last Update Date	:	10/20/2025

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