Individual provider Active NPI

Stephanie Michelle Griffin, ED.S., LMHC, FMHCA

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1003412958
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
20281 Issued in FL
Practice address
45 Westwood Ter N
St Petersburg, FL 33710-8325
Phone
(727) 967-9176
Fax
(727) 787-0134
NPI assigned
Dec 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH21579 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 20281 FL Primary

Addresses

Primary practice location

45 Westwood Ter N
St Petersburg, FL 33710-8325

Mailing address

45 Westwood Ter N
St Petersburg, FL 33710-8325
Phone (727) 967-9176

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address Sgriffin@carltonmanor.org Health Information Exchange (HIE) CARLTON MANOR, INC
Direct Messaging Address Sgriffin@carltonmanor.org Health Information Exchange (HIE) CARLTON MANOR, INC
Direct Messaging Address Sgriffin@carltonmanor.org Health Information Exchange (HIE) CARLTON MANOR, INC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MH21579FLMDMental Health Counselor
20281FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Fortuide Wellbeing Inc Past Accepting new patients
Carlton Manor, Inc PastSince Dec 13, 2020 Accepting new patients
Carlton Manor, Inc. PastSince Dec 13, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sgriffin@carltonmanor.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1607299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1003412958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 WESTWOOD TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108325",
            "telephone_number": "727-967-9176",
            "fax_number": "727-787-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 WESTWOOD TER N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108325",
            "telephone_number": "727-967-9176",
            "fax_number": "727-787-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFIN",
        "first_name": "STEPHANIE",
        "middle_name": "MICHELLE",
        "credential": "ED.S., LMHC, FMHCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-07",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21579",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "20281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sgriffin@carltonmanor.org",
            "affiliation": "Y",
            "endpointDescription": "Agency email",
            "affiliationName": "CARLTON MANOR, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45 Westwood Ter N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337108325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sgriffin@carltonmanor.org",
            "affiliation": "Y",
            "endpointDescription": "Agency email",
            "affiliationName": "CARLTON MANOR, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45 Westwood Ter N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337108325",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sgriffin@carltonmanor.org",
            "affiliation": "Y",
            "endpointDescription": "Agency email",
            "affiliationName": "CARLTON MANOR, INC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "45 Westwood Ter N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337108325",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.