=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346160413
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | INCITE INSIGHT
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/20/2026
-----------------------------------------------------
Last Update Date | 07/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2762 BURLINGTON AVE N
-----------------------------------------------------
City | ST PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33713-8730
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-245-3457
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3026 CENTRAL AVE STE 529
-----------------------------------------------------
City | ST PETERSBURG
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 33712-1033
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 612-512-1716
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | DR. JILL ALLYNE HELGEMOE
-----------------------------------------------------
Credential | PSYD
-----------------------------------------------------
Telephone | 612-245-3457
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------