MEDICARE: PAWS-A-WHILE COUNSELING

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	261QM0850X	Adult Mental Health Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1871471219
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PAWS-A-WHILE COUNSELING

Provider Business Mailing Address
First Line	:	7683 DEER FOOT DR
Second Line	:
City	:	NEW PRT RCHY
State	:	FL
Zip	:	34653-5004
Country	:	US
Telephone Number	:	727-275-0532
Fax Number	:

Provider Business Practice Location Address
First Line	:	7683 DEER FOOT DR
Second Line	:
City	:	NEW PRT RCHY
State	:	FL
Zip	:	34653-5004
Country	:	US
Telephone Number	:	727-275-0532
Fax Number	:

Authorized Official
Title or Position	:	MENTAL HEALTH COUNSELOR
Name	:	MR. JONATHAN PAWSON
Credential	:	LMHC
Telephone Number	:	727-275-0532

Provider Enumeration Date	:	08/25/2025
Last Update Date	:	08/25/2025

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Directions to “PAWS-A-WHILE COUNSELING ” Practice Location

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