Organization Active NPI

Patricia M Ellingham

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1043688757
Registry record updated Sep 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC11163 Issued in FL
Legal business name
PATRICIA M ELLINGHAM
Practice address
8800 49TH St N
Ste 402
Pinellas Park, FL 33782-5353
Phone
(727) 421-0595
Fax
(727) 712-0010
NPI assigned
Sep 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2015

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

Authorized official

Name
Mrs. Patricia M Ellingham, LMHC
Title
Owner
Phone
(727) 421-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LMHC11163 FL Primary

Addresses

Primary practice location

8800 49TH St N
Ste 402
Pinellas Park, FL 33782-5353

Mailing address

8800 49TH St N
Ste 402
Pinellas Park, FL 33782-5353
Phone (727) 421-0595

Other names 1

  • Ellingham Consulting Doing business as

National Provider Directory

National Provider Directory

Locations

8800 49th St N
Ste 402
Pinellas Park, FL 33782
Phone (727) 421-0595

NPI Registry JSON

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

{
    "created_epoch": "1441929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441929600000",
    "number": "1043688757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N",
            "address_2": "STE 402",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825353",
            "telephone_number": "727-421-0595",
            "fax_number": "727-712-0010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8800 49TH ST N",
            "address_2": "STE 402",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337825353",
            "telephone_number": "727-421-0595",
            "fax_number": "727-712-0010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICIA M ELLINGHAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-11",
        "last_updated": "2015-09-11",
        "status": "A",
        "authorized_official_last_name": "ELLINGHAM",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-421-0595",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC11163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ellingham Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinellas Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2015; 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.