Phoebe Aimel Maisto, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH22536 Issued in FL

Practice address

1537 Dale Mabry Hwy Ste 102
Lutz, FL 33548-3020

Phone

(813) 279-1800

NPI assigned

Jul 27, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Phoebe Maisto Counseling Services LLC

  • Mental Health Counselor
  • Lutz, FL
  • NPI 1528930575
  NPD Authorized official
• Pathway of Florida, LLC

  • Community/Behavioral Health Agency
  • Tampa, FL
  • NPI 1336447960
  NPD (past)

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

{
    "created_epoch": "1690416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1073294567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19217 WIND DANCER ST",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335589001",
            "telephone_number": "813-523-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1537 DALE MABRY HWY STE 102",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335483020",
            "telephone_number": "813-279-1800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19217 Wind Dancer St",
            "address_purpose": "LOCATION",
            "city": "Lutz",
            "state": "FL",
            "postal_code": "335589001",
            "country_code": "US",
            "telephone_number": "813-523-7163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAISTO",
        "first_name": "PHOEBE",
        "middle_name": "AIMEL",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-27",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH22536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magnolia Manor Assisted Living, Inc.
• Maya V Maharana, SLP
• Richa Mahatme, DDS
• Mahesh Bhambore MD PA
• Gabrielle Mai, APRN
• Faddy A Makaryus, DMD
• Kevin J. Makati, MD
• Viba Bhuvana Malaiyandi, MD
• Jessica Malave, MSN, APRN, FNP-BC
• Padmavathi Malempati, M.D.

• Mental Health Counselor in Lutz, FL
• Providers in Lutz, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 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.