Individual provider Active NPI

Anna Bearss

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1043930399
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH23055 Issued in FL
Practice address
7901 4TH St N Ste 13105
St Petersburg, FL 33702-4305
Phone
(877) 358-2998
NPI assigned
Aug 29, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH23055 FL Primary

Addresses

Primary practice location

7901 4TH St N Ste 13105
St Petersburg, FL 33702-4305

Mailing address

1101 W 40TH St Unit 2225
Chattanooga, TN 37409-1379
Phone (877) 358-2998

Other practice location 1

4400 Bayou Blvd
Pensacola, FL 32503-2673
Phone (850) 583-1342

Other practice location 2

2120 Airport Rd
Lakeland, FL 33811-1021
Phone (877) 358-2998

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

LicenseStateTypeSpecialty
IMH23055FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Elu LLC Mental Health CurrentSince Aug 18, 2023 Accepting new patients

Locations

7355 US Highway 98 N
Lakeland, FL 33809

2120 Airport Rd
Lakeland, FL 33811

1101 W 40th St
Unit 2225
Chattanooga, TN 37409
Phone (423) 486-0774

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1043930399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W 40TH ST UNIT 2225",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374091379",
            "telephone_number": "877-358-2998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 4TH ST N STE 13105",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337024305",
            "telephone_number": "877-358-2998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 Bayou Blvd",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325032673",
            "country_code": "US",
            "telephone_number": "850-583-1342",
            "fax_number": "850-665-0132",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2120 Airport Rd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338111021",
            "country_code": "US",
            "telephone_number": "877-358-2998",
            "fax_number": "423-405-6346",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BEARSS",
        "first_name": "ANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-29",
        "last_updated": "2023-11-15",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH23055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.