Active NPI
Emma Geisdorf
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1023612835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2188 58TH St N
Clearwater, FL 33760-3112 - Phone
- (727) 327-7656
- Fax
- (727) 322-2130
- NPI assigned
- Nov 23, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
2188 58TH St N
Clearwater, FL 33760-3112
Mailing address
PO Box 10970
St Petersburg, FL 33733-0970
Phone (727) 327-7656
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 805055749 | Other | FL | FARS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607299200000",
"number": "1023612835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10970",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337330970",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2188 58TH ST N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603112",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEISDORF",
"first_name": "EMMA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-11-23",
"last_updated": "2020-12-07",
"certification_date": "2020-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FARS",
"identifier": "805055749",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.