Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kaydianne Nugent-Jackson

Individual provider Mental Health Counselor · NPI 1568038826

Dr. Kaydianne Nugent-Jackson is a Mental Health Counselor in St Petersburg, Florida. Qualified in 2004, 22 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
22
Licensed in
FL
In the registry since
2021
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Practice location Address checks out

4905 34th St S # 182
St Petersburg, FL 33711-4511
Phone: (727) 252-6343
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence MH17633 (FL)

Record details

NPI number1568038826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 27, 2021
Last updated in NPPESMay 27, 2021
Certification dateMay 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Accepts Medicare assignment Not indicated

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