Charles R. Rhodes, L.M.H.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH6411 Issued in FL

Practice address

24160 State Road 54
Unit 5
Lutz, FL 33559-6755

Phone

(813) 784-9793

Fax

(813) 948-0788

NPI assigned

Dec 25, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1167004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104981802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 SPRING MEADOW DR",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335669618",
            "telephone_number": "813-784-9793",
            "fax_number": "813-948-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24160 STATE ROAD 54",
            "address_2": "UNIT 5",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335596755",
            "telephone_number": "813-784-9793",
            "fax_number": "813-948-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODES",
        "first_name": "CHARLES",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "L.M.H.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH6411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Revive PCMS Florida LLC
• Claudia Reyes Toranzo, RBT
• Liezl Xyra Canoneo Reyes, P.T.
• Remounda Rezk
• Ellamy Lynne Rhoads, PHARMD
• Michelle Ricchino
• Davonte Laquintus Onanis Rice
• Madison Rice
• Anthony Richards
• Linnette A Richards, OTAL

• All providers in Lutz, FL
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.