Healthcare Provider Details

I. General information

NPI: 1841884038
Provider Name (Legal Business Name): HANNAH JELINEK MS, MT-BC, RMHCI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/27/2021
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7221 DELAINEY CT
LAKEWOOD RANCH FL
34240-8440
US

IV. Provider business mailing address

5227 OLD TRENTON LN
SARASOTA FL
34232-6110
US

V. Phone/Fax

Practice location:
  • Phone: 719-966-9094
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number StateFL
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberIMH25298
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: