Individual provider Active NPI

Robert Gene Zentarski, MS, CAP, CCJS, MAC

  • Addiction (Substance Use Disorder) Counselor
  • Tampa, FL
National Provider Identifier
1144428426
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CAP 1457 Issued in FL
Practice address
11707 Club Dr
Mental Health Outpatient Clinic
Tampa, FL 33612-5521
Phone
(813) 631-7126
Fax
(813) 631-7128
NPI assigned
Jul 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAP 1457 FL Primary

Addresses

Primary practice location

11707 Club Dr
Mental Health Outpatient Clinic
Tampa, FL 33612-5521

Mailing address

22723 Glyndon Point Rd
Lutz, FL 33549-8711
Phone (813) 909-9012

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
CAP 1457FLMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1144428426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22723 GLYNDON POINT RD",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335498711",
            "telephone_number": "813-909-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11707 CLUB DR",
            "address_2": "MENTAL HEALTH OUTPATIENT CLINIC",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125521",
            "telephone_number": "813-631-7126",
            "fax_number": "813-631-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZENTARSKI",
        "first_name": "ROBERT",
        "middle_name": "GENE",
        "name_prefix": "Mr.",
        "credential": "MS, CAP, CCJS, MAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-06",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 1457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.