Organization Active NPI

Tampa Life Counseling, LLC

  • Clinical Social Worker
  • Tampa, FL
National Provider Identifier
1003335571
Registry record updated Oct 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14637 Issued in FL
Legal business name
TAMPA LIFE COUNSELING, LLC
Practice address
13035 W. Linebaugh Ave #101 Ste G
Tampa, FL 33626
Phone
(813) 906-8852
NPI assigned
Sep 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ha Alberti, LCSWNPI 1720502933
Title
Owner
Phone
(817) 271-7780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 14637 FL
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 14637 FL Primary

Addresses

Primary practice location

13035 W. Linebaugh Ave #101 Ste G
Tampa, FL 33626

Mailing address

16209 Muirfield Dr
Odessa, FL 33556-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190129002874 FL Part B Supplier - Clinic/Group Practice 8123365111 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL

National Provider Directory

National Provider Directory
Tax ID family
Tampa Life Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

13035 W Linebaugh Ave
Ste G
Tampa, FL 33626
Phone (813) 906-8852

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1505433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509235200000",
    "number": "1003335571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16209 MUIRFIELD DR",
            "city": "ODESSA",
            "state": "FL",
            "postal_code": "335562830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13035 W. LINEBAUGH AVE #101 STE G",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33626",
            "telephone_number": "813-906-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA LIFE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-15",
        "last_updated": "2017-10-29",
        "status": "A",
        "authorized_official_last_name": "ALBERTI",
        "authorized_official_first_name": "HA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-271-7780",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "14637",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "14637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.