NPIMap

Organization Active NPI

Tabula Rasa Counseling Services, LLC

  • Clinical Social Worker
  • Land O Lakes, FL
National Provider Identifier
1124722772
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
TABULA RASA COUNSELING SERVICES, LLC
Practice address
9199 Bella Vita Cir
Land O Lakes, FL 34637-3504
Phone
(813) 580-0480
Fax
(813) 354-4766
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Rachel McCall, LCSWNPI 1306447560
Title
Ceo
Phone
(813) 580-0480

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9199 Bella Vita Cir
Land O Lakes, FL 34637-3504

Mailing address

9199 Bella Vita Cir
Land O Lakes, FL 34637-3504
Phone (813) 580-0480

National Provider Directory

National Provider Directory

Locations

2620 Sumerian Dr
Land O Lakes, FL 34638

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1124722772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9199 BELLA VITA CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373504",
            "telephone_number": "813-580-0480",
            "fax_number": "813-354-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9199 BELLA VITA CIR",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346373504",
            "telephone_number": "813-580-0480",
            "fax_number": "813-354-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TABULA RASA COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A",
        "authorized_official_last_name": "MCCALL",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "813-580-0480",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.