Individual provider Active NPI

Christine Templeman, MA

  • Mental Health Counselor
  • Bradenton, FL
National Provider Identifier
1104468628
Registry record updated Nov 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
IMH17137 Issued in FL
Practice address
9050 58TH Dr E
Bradenton, FL 34202-6104
Phone
(941) 907-0525
NPI assigned
Oct 16, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X IMH17137 FL Primary

Addresses

Primary practice location

9050 58TH Dr E
Bradenton, FL 34202-6104

Mailing address

9080 58TH Dr E
Bradenton, FL 34202-6111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231221002497 FL Practitioner - Mental Health Counselor 7113377870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctor Q IncGroup PAC ID 4486849072, 9 clinicians

Practice addresses (Care Compare)

9050 58TH Dr E
Bradenton, FL 34202-6104
Phone (941) 907-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
IMH17137FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Doctor Q Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

9050 58th Dr E
Lakewood Ranch, FL 34202
Phone (941) 907-0525

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": "1571184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762041600000",
    "number": "1104468628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9080 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9050 58TH DR E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342026104",
            "telephone_number": "941-907-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEMPLEMAN",
        "first_name": "CHRISTINE",
        "name_prefix": "Mrs.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-16",
        "last_updated": "2025-11-02",
        "certification_date": "2025-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "IMH17137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.