Individual provider Active NPI

Roxanne Davis Pratt, LPCC, LMHC, MPH

  • Professional Counselor
  • Lakewood Ranch, FL
National Provider Identifier
1053534834
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
MH 13545 Issued in FL
Practice address
7313 Merchant CT
Suite L
Lakewood Ranch, FL 34240-8437
Phone
(941) 350-3009
Fax
(678) 426-6620
NPI assigned
Apr 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC003112 GA
Professional Counselor 101YP2500X 0125261 NM
Professional Counselor 101YP2500X MH 13545 FL Primary
Professional Counselor 101YP2500X LH 60421233 WA

Addresses

Primary practice location

7313 Merchant CT
Suite L
Lakewood Ranch, FL 34240-8437

Mailing address

7313 Merchant CT
Suite L
Lakewood Ranch, FL 34240-8437
Phone (941) 350-3009

Other identifiers 1

IdentifierTypeStateIssuer
59988771MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2408 Summerhill Dr
Encinitas, CA 92024-5451

701 Palomar Airport Rd
Suite 300
Carlsbad, CA 92011-1023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH 13545FLMDProfessional Counselor
LPC003112GAMDProfessional Counselor
0125261NMMDProfessional Counselor
LH 60421233WAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Roxanne Davis Pratt Licensed Professional Clinical Counselor, P.C. Professional Current Accepting new patients
Counseling Cottage LLC Professional Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1053534834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7313 MERCHANT CT",
            "address_2": "SUITE L",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408437",
            "telephone_number": "941-350-3009",
            "fax_number": "678-426-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7313 MERCHANT CT",
            "address_2": "SUITE L",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408437",
            "telephone_number": "941-350-3009",
            "fax_number": "678-426-6620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ROXANNE",
        "middle_name": "DAVIS",
        "name_prefix": "Mrs.",
        "credential": "LPCC, LMHC, MPH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003112",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NM",
            "license": "0125261",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "FL",
            "license": "MH 13545",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WA",
            "license": "LH 60421233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59988771",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

Verify at the official NPI Registry.