Footprints Counseling LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH13279 Issued in FL

Legal business name

FOOTPRINTS COUNSELING LLC

Practice address

275 4TH St N
St Petersburg, FL 33701-3205

Phone

(727) 828-8361

NPI assigned

Feb 9, 2017

Last updated

Feb 9, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra M Kraus, LMHCNPI 1033503917

Title

Owner

Phone

(727) 458-1080

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Debra Kraus

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1033503917
  NPD (past) Authorized official

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1033657036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7221 16TH CT NE",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337024605",
            "telephone_number": "727-458-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013205",
            "telephone_number": "727-828-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTPRINTS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "KRAUS",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-458-1080",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH13279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quynn Marie Fonseca, COTA/L
• Linda Marcela Font
• Megan Font, DOULA
• Tamera Lorraine Fontenot, LMHC
• Yissa D Fonticiella, M.D.
• Diamond Forbes
• Erin Kate Forbes, PMHNP-BC
• Jennifer Marie Forbes
• Linnea Faye Forbes
• Tarin Amanda Forbes, D.O.

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.