Grace Anagnos, MA

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH19292 Issued in FL

Practice address

4011 53Rd Ave N
St Petersburg, FL 33714-2234

Phone

(314) 852-6022

Fax

(314) 852-6022

NPI assigned

Dec 5, 2019

Sex

Female

Sole proprietor

No

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

Enrolled in UT, MA2 enrollments

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 2

Specialty

Mental Health Counselor

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Spectrum Neuro Behavioral Care LLCGroup PAC ID 2860721362, 57 clinicians

Valley Behavioral Health IncorporatedGroup PAC ID 0042121196, 84 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

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.

• Valley Behavioral Health Incorporated

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • West Valley City, UT
  • NPI 1932166980
  Medicare reassignment Care Compare group NPD
• Spectrum Neuro Behavioral Care LLC

  • Community/Behavioral Health Agency
  • North Smithfield, RI
  • NPI 1356906572

  MA

  Medicare reassignment Care Compare group
• Valley Mental Health Incorporated

  • Psychiatry Physician
  • Salt Lake City, UT
  • NPI 1275599797
  NPD

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1114564408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3725 W 4100 S STE 201",
            "city": "WEST VALLEY CITY",
            "state": "UT",
            "postal_code": "841205427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 53RD AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337142234",
            "telephone_number": "314-852-6022",
            "fax_number": "314-852-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANAGNOS",
        "first_name": "GRACE",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Joseph Amodeo, M.D.
• David Amparan, PHARMD
• Gil Amspaugh
• Amy Fine Anderson DMD PA
• Dong An, APRN
• And Recovery & Behavioral Health LLC
• Ashleigh N Anderlik, ARNP
• Peter Andersen, R.R.T.
• Alicia Anderson, MA
• Alicia Vonceia Anderson, PMHNP-BC

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.