MR. JASON D. CHESNUT (M.S., L.M.H.C.) – Mental Health Counselor, NPI 1174657068

MR. JASON D. CHESNUT (M.S., L.M.H.C.) is a healthcare provider. based in Saint cloud, Florida. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials M.S., L.M.H.C.. They hold a License No. MH6331 (FL). The NPI Number for MR. JASON D. CHESNUT (M.S., L.M.H.C.) is 1174657068

Main info

Male
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
MR. JASON D. CHESNUT (M.S., L.M.H.C.)
NPI
1174657068
Phone
(407) 957-4176
Address
3112 17TH ST
Enumeration Date
15 March 2007
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4079574176
Graduation Year
1998 (28 years ago)
PAC ID
5698200806
Group Practice PAC ID
3577095652
Professional Enrollment ID
I20241125003632
Address ID
FL347696021SA3112XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,018 MENTAL HEALTH COUNSELOR in FL

Provider Addresses for MR. JASON D. CHESNUT (M.S., L.M.H.C.)

  • 3112 17TH ST

    SAINT CLOUD, FL 347696021

    Phone: (407) 957-4176

    Fax: (407) 957-4359

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241125003632IMental Health CounselorFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 34769)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3577095652View full group profile
NameSpecialtyState
Mental Health CounselorFL
Mental Health CounselorFL
Mental Health CounselorFL

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Frequently asked questions

What identifier follows MR. JASON D. CHESNUT (M.S., L.M.H.C.) across health systems?
The NPI 1174657068 uniquely identifies MR. JASON D. CHESNUT (M.S., L.M.H.C.) in U.S. healthcare data.
Is MR. JASON D. CHESNUT (M.S., L.M.H.C.)'s NPI status active today?
Active status means MR. JASON D. CHESNUT (M.S., L.M.H.C.)'s NPI record is not deactivated in the public file.
What services align with MR. JASON D. CHESNUT (M.S., L.M.H.C.)'s listing?
MR. JASON D. CHESNUT (M.S., L.M.H.C.)'s public classification highlights Mental Health Counselor. Clinical services aligned with this taxonomy classification.
Is MR. JASON D. CHESNUT (M.S., L.M.H.C.) tied to Saint Cloud, Florida?
If you are local to Saint Cloud, Florida, MR. JASON D. CHESNUT (M.S., L.M.H.C.) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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