NPIMap

Organization Active NPI

Kelly Venuti, LLC

  • Mental Health Counselor
  • Saint Petersburg, FL
National Provider Identifier
1023688306
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
KELLY VENUTI, LLC
Practice address
1631 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704-4203
Phone
(727) 275-7550
NPI assigned
Jun 29, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Authorized official

Name
Mrs. Kelly Holder Venuti, LMHCNPI 1235330473
Title
Owner
Phone
(813) 362-6339

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 Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

1631 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704-4203

Mailing address

1631 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704-4203

Other names 1

  • Concierge Holistic Wellness Doing business as

National Provider Directory

National Provider Directory

Locations

1631 Dr Martin Luther King Jr St N
Saint Petersburg, FL 33704
Phone (727) 275-7550

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": "1624924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625011200000",
    "number": "1023688306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1631 DR MARTIN LUTHER KING JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1631 DR MARTIN LUTHER KING JR ST N",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337044203",
            "telephone_number": "727-275-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KELLY VENUTI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-29",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A",
        "authorized_official_last_name": "VENUTI",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "HOLDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-362-6339",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Concierge Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Concierge Holistic Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Saint Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; 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.