| Entity Name: | JASON R KLOSS, PHD, LMHC, MCAP LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 27 Jan 2021 (4 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 14 Nov 2024 (3 months ago) |
| Document Number: | L21000049562 |
| FEI/EIN Number | 86-1985255 |
| Address: | 1905 Tyrone Blvd N, Saint Petersburg, FL, 33710, US |
| Mail Address: | 4601 9TH AVE N, ST PETERSBURG, FL, 33713 |
| ZIP code: | 33710 |
| County: | Pinellas |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1730760455 | 2021-04-15 | 2021-04-15 | 2288 DREW ST., SUITE B, CLEARWATER, FL, 33765, US | 2288 DREW ST., SUITE B, CLEARWATER, FL, 33765, US | |||||||||||||||||
|
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| Phone | +1 727-308-1330 |
Authorized person
| Name | DR. JASON ROBERT KLOSS |
| Role | OWNER / SOLE MEMBER |
| Phone | 7273081330 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | Yes |
| Taxonomy Code | 225700000X - Massage Therapist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KLOSS JASON R | Agent | 4601 9TH AVE N, ST PETERSBURG, FL, 33713 |
| Name | Role | Address |
|---|---|---|
| KLOSS JASON R | Manager | 4601 9TH AVE N, ST PETERSBURG, FL, 33713 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF MAILING ADDRESS | 2025-09-01 | 1905 Tyrone Blvd N, Saint Petersburg, FL 33710 | No data |
| REGISTERED AGENT NAME CHANGED | 2024-11-14 | KLOSS, JASON R | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2024-09-27 | No data | No data |
| CHANGE OF MAILING ADDRESS | 2024-09-01 | 1905 Tyrone Blvd N, Saint Petersburg, FL 33710 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-23 | 1905 Tyrone Blvd N, Saint Petersburg, FL 33710 | No data |
| Name | Date |
|---|---|
| REINSTATEMENT | 2024-11-14 |
| ANNUAL REPORT | 2023-01-23 |
| ANNUAL REPORT | 2022-03-10 |
| Florida Limited Liability | 2021-01-27 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
