Organization Active NPI

Myrna I. Valle, LMHC PA

  • Mental Health Counselor
  • Tamps, FL
National Provider Identifier
1083980361
Registry record updated Mar 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3852 Issued in FL
Legal business name
MYRNA I. VALLE, LMHC PA
Practice address
14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789
Phone
(813) 786-3100
Fax
(813) 910-7828
NPI assigned
Mar 30, 2012
Last updated
Mar 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2012

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

Authorized official

Name
Mrs. Myrna I. ValleNPI 1730109034
Title
President
Phone
(813) 786-3100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH3852 FL Primary

Addresses

Primary practice location

14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789

Mailing address

14505 Bruce B. Downs Blvd.
Tamps, FL 33613-2789
Phone (813) 786-3100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1333065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333065600000",
    "number": "1083980361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14505 BRUCE B. DOWNS BLVD.",
            "city": "TAMPS",
            "state": "FL",
            "postal_code": "336132789",
            "telephone_number": "813-786-3100",
            "fax_number": "813-910-7828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14505 BRUCE B. DOWNS BLVD.",
            "city": "TAMPS",
            "state": "FL",
            "postal_code": "336132789",
            "telephone_number": "813-786-3100",
            "fax_number": "813-910-7828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYRNA I. VALLE, LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-30",
        "last_updated": "2012-03-30",
        "status": "A",
        "authorized_official_last_name": "VALLE",
        "authorized_official_first_name": "MYRNA",
        "authorized_official_middle_name": "I.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-786-3100",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; 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.