Active NPI
Patrice Brantley, LMHC
- Mental Health Counselor
- Tampa, FL
National Provider Identifier
1053797126
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 12978
- Practice address
- 3903 Northdale Blvd
Tampa, FL 33624-1864 - Phone
- (813) 785-6507
- Fax
- (888) 375-6079
- NPI assigned
- Jul 30, 2015
- 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 | 12978 | FL | Primary |
| Professional Counselor | 101YP2500X | 12978 | FL |
Addresses
Primary practice location
3903 Northdale Blvd
Tampa, FL 33624-1864
Mailing address
15017 N Dale Mabry Hwy
Tampa, FL 33618-1816
Phone (813) 785-6507
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 |
|---|---|---|---|
| 12978 | FL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seed Sowing Sistah Movement, LLC | Mental Health | Current | Accepting new patients |
Locations
15017 N Dale Mabry Hwy
Tampa, FL 33618
Phone (352) 584-4104
3903 Northdale Blvd
Tampa, FL 33624
Phone (813) 785-6507
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.
-
- Mental Health Counselor
- Tampa, FL
- NPI 1992568802
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774396800000",
"number": "1053797126",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15017 N DALE MABRY HWY",
"city": "TAMPA",
"state": "FL",
"postal_code": "336181816",
"telephone_number": "813-785-6507",
"fax_number": "888-375-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3903 NORTHDALE BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336241864",
"telephone_number": "813-785-6507",
"fax_number": "888-375-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRANTLEY",
"first_name": "PATRICE",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-30",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "12978",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "FL",
"license": "12978",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.