Individual provider Active NPI

Emily Vista-Ann McQuaid

  • Counselor
  • Palm Harbor, FL
National Provider Identifier
1083413918
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
IMH26071 Issued in FL
Practice address
3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411
Phone
(727) 238-5821
NPI assigned
Mar 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X IMH26071 FL Primary

Addresses

Primary practice location

3450 E Lake Rd Ste 307
Palm Harbor, FL 34685-2411

Mailing address

19741 McKabben LN
Land O Lakes, FL 34638-2616
Phone (813) 990-9950

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
IMH26071FLMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Revive to Thrive Therapies CurrentSince Mar 20, 2025 Accepting new patients

Locations

3450 E Lake Rd
Ste 307
Palm Harbor, FL 34685
Phone (727) 238-5821

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": "1741737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1083413918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19741 MCKABBEN LN",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346382616",
            "telephone_number": "813-990-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 E LAKE RD STE 307",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852411",
            "telephone_number": "727-238-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCQUAID",
        "first_name": "EMILY",
        "middle_name": "VISTA-ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "FL",
            "license": "IMH26071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.