Active NPI
Christine Jenny Whittaker, MA, LMFT
- Marriage & Family Therapist
- Tampa, FL
National Provider Identifier
1073815056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MT3108
- Practice address
- 14502 North Dale Mabry Hwy
Suite#200
Tampa, FL 33618-2746 - Phone
- (813) 240-0855
- Fax
- (727) 800-1854
- NPI assigned
- Nov 24, 2010
- 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 |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | MT3018 | FL | |
| Marriage & Family Therapist | 106H00000X | MT3108 | FL | Primary |
Addresses
Primary practice location
14502 North Dale Mabry Hwy
Suite#200
Tampa, FL 33618-2746
Mailing address
14502 North Dale Mabry Hwy
Suite#200
Tampa, FL 33618-2746
Phone (813) 240-0855
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 023910300 | Medicaid | FL |
Other names 1
- Mrs. Christine Whittaker
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT3018 | FL | MD | Counselor |
| MT3108 | FL | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whittaker Family Services, LLC | Community/Behavioral Health | Current | Accepting new patients |
Locations
14502 N Dale Mabry Hwy
Ste 200
Tampa, FL 33618
Phone (813) 724-3868
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.
-
- Community/Behavioral Health Agency
- Tampa, FL
- NPI 1255788840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1073815056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14502 NORTH DALE MABRY HWY",
"address_2": "SUITE#200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182746",
"telephone_number": "813-240-0855",
"fax_number": "727-800-1854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14502 NORTH DALE MABRY HWY",
"address_2": "SUITE#200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336182746",
"telephone_number": "813-240-0855",
"fax_number": "727-800-1854"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITTAKER",
"first_name": "CHRISTINE",
"middle_name": "JENNY",
"name_prefix": "Mrs.",
"credential": "MA, LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-24",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "FL",
"license": "MT3018",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "MT3108",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "023910300",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINE",
"last_name": "WHITTAKER",
"prefix": "MRS.",
"credential": "MA",
"code": "1",
"type": "Former Name"
}
]
}
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 Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.