MEDICARE: JAMIE JIT LPCC

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	101YP2500X	Professional Counselor	263801	KY
2	101YP2500X	Professional Counselor	174979	KY
3	101YM0800X	Mental Health Counselor	MH25900	FL

General Provider Information

NPI Number	:	1407360324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE JIT LPCC

Provider Business Mailing Address
First Line	:	1844 GROVELINE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34771-8340
Country	:	US
Telephone Number	:	270-215-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	4117 NEPTUNE RD
Second Line	:
City	:	SAINT CLOUD
State	:	FL
Zip	:	34769-6741
Country	:	US
Telephone Number	:	407-593-6225
Fax Number	:

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

Provider Enumeration Date	:	11/30/2017
Last Update Date	:	02/13/2026

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