Active NPI
Brittany R Pellegrino, LMHC
- Mental Health Counselor
- Venice, FL
National Provider Identifier
1104181718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH16001
- Practice address
- 333 Tamiami TRL S
Venice, FL 34285-2402 - Phone
- (941) 524-7511
- NPI assigned
- Jul 10, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH16001 | FL | Primary |
Addresses
Primary practice location
333 Tamiami TRL S
Venice, FL 34285-2402
Mailing address
333 Tamiami TRL S
Venice, FL 34285-2402
Phone (941) 524-7511
Other practice location 1
2411 Holyoke Ave
Bradenton, FL 34207-5146
Phone (941) 524-7511
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 |
|---|---|---|---|
| MH16001 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613174400000",
"number": "1104181718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342852402",
"telephone_number": "941-524-7511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 TAMIAMI TRL S",
"city": "VENICE",
"state": "FL",
"postal_code": "342852402",
"telephone_number": "941-524-7511"
}
],
"practiceLocations": [
{
"address_1": "2411 Holyoke Ave",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342075146",
"country_code": "US",
"telephone_number": "941-524-7511",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PELLEGRINO",
"first_name": "BRITTANY",
"middle_name": "R",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-07-10",
"last_updated": "2021-02-13",
"certification_date": "2021-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH16001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Venice, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.