Individual provider Active NPI

Paul M Prachar

  • Mental Health Counselor
  • Venice, FL
National Provider Identifier
1134711005
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH19521 Issued in FL
Practice address
329 Nokomis Ave S Ste H
Venice, FL 34285-2418
Phone
(319) 360-6692
NPI assigned
Feb 10, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2023

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 MH19521 FL Primary

Addresses

Primary practice location

329 Nokomis Ave S Ste H
Venice, FL 34285-2418

Mailing address

329 Nokomis Ave S Ste H
Venice, FL 34285-2418
Phone (319) 360-6692

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

State licenses

LicenseStateTypeSpecialty
MH19521FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prachar Enterprises, LLC Current Accepting new patients

Locations

1224 Ridgewood Ave
Venice, FL 34285
Phone (941) 284-2868

329 Nokomis Ave S
Ste H
Venice, FL 34285
Phone (317) 250-0371

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": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683590400000",
    "number": "1134711005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S STE H",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "319-360-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "329 NOKOMIS AVE S STE H",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342852418",
            "telephone_number": "319-360-6692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRACHAR",
        "first_name": "PAUL",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH19521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.