Individual provider Active NPI

Maura L Pratt, MS, LMHC, LPC, NCC

  • Mental Health Counselor
  • Panama City, FL
National Provider Identifier
1124460977
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3172 Issued in AL
Practice address
2410 Lisenby Ave
Panama City, FL 32405-3537
Phone
(850) 640-4328
Fax
(850) 640-4319
NPI assigned
Jul 22, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH16415 FL
Mental Health Counselor 101YM0800X 3172 AL Primary

Addresses

Primary practice location

2410 Lisenby Ave
Panama City, FL 32405-3537

Mailing address

2410 Lisenby Ave
Panama City, FL 32405-3537
Phone (850) 640-4328

Other names 1

  • Maura Cox Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3172ALMDMental Health Counselor
MH16415FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Counseling Services, P.a. Mental Health Past Accepting new patients
Clark Psychological Associates Past Accepting new patients
Associated Psychologists LLC PastSince Jun 1, 2005 Accepting new patients

Organizations & group practices 3

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": "1374451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1124460977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2410 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053537",
            "telephone_number": "850-640-4328",
            "fax_number": "850-640-4319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 LISENBY AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324053537",
            "telephone_number": "850-640-4328",
            "fax_number": "850-640-4319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRATT",
        "first_name": "MAURA",
        "middle_name": "L",
        "credential": "MS, LMHC, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-22",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH16415",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AL",
            "license": "3172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MAURA",
            "last_name": "COX",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Panama City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2020; 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.