Active NPI
Lanicia P Marshall, LMHC, EDS, CAP, RPTS
- Mental Health Counselor
- Wesley Chapel, FL
National Provider Identifier
1043539315
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH10771
- Practice address
- 27524 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6947 - Phone
- (850) 491-4437
- NPI assigned
- May 25, 2010
- Last updated
- Jul 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH7557 | FL | |
| Mental Health Counselor | 101YM0800X | MH10771 | FL | Primary |
Addresses
Primary practice location
27524 Cashford Cir Ste 102
Wesley Chapel, FL 33544-6947
Mailing address
7420 Heide Hill Trace
Tallahassee, FL 32312
Phone (850) 491-4437
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
| License | State | Type | Specialty |
|---|---|---|---|
| IMH7557 | FL | MD | Mental Health Counselor |
| MH10771 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Footprints Counseling Consulting | Current | Accepting new patients | |
| Footprints Counseling | Mental Health | Past | Accepting new patients |
Locations
27524 Cashford Cir
Wesley Chapel, FL 33544
Phone (850) 491-4437
27524 Cashford Cir
Ste 102
Wesley Chapel, FL 33544
Phone (813) 323-7815
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wesley Chapel, FL
- NPI 1922975945
-
- Mental Health Counselor
- Tallahassee, FL
- NPI 1285027193
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1043539315",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7420 HEIDE HILL TRACE",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "32312",
"telephone_number": "850-491-4437"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27524 CASHFORD CIR STE 102",
"city": "WESLEY CHAPEL",
"state": "FL",
"postal_code": "335446947",
"telephone_number": "850-491-4437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "LANICIA",
"middle_name": "P",
"credential": "LMHC, EDS, CAP, RPTS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-25",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH7557",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH10771",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wesley Chapel, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.