Individual provider Active NPI

Katherine Emma Hackett Sierota, MA

  • Mental Health Counselor
  • Riverview, FL
National Provider Identifier
1144465790
Registry record updated Mar 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH17801 Issued in FL
Practice address
13002 Whitnell Way
Riverview, FL 33579-7098
Phone
(941) 266-9906
NPI assigned
Dec 11, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 15, 2022

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 MH17801 FL Primary
Professional Counselor 101YP2500X PC004647 PA

Addresses

Primary practice location

13002 Whitnell Way
Riverview, FL 33579-7098

Mailing address

13002 Whitnell Way
Riverview, FL 33579-7098
Phone (941) 266-9906

Other practice location 1

10021 Water Works Ln
Riverview, FL 33578-5304
Phone (813) 677-1555

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 Arts

State licenses

LicenseStateTypeSpecialty
MH17801FLMDMental Health Counselor
PC004647PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Creativity the Art of Expression LLC CurrentSince Jan 29, 2023 Accepting new patients

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": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647302400000",
    "number": "1144465790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13002 WHITNELL WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797098",
            "telephone_number": "941-266-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13002 WHITNELL WAY",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335797098",
            "telephone_number": "941-266-9906"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10021 Water Works Ln",
            "address_purpose": "LOCATION",
            "city": "Riverview",
            "state": "FL",
            "postal_code": "335785304",
            "country_code": "US",
            "telephone_number": "813-677-1555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HACKETT SIEROTA",
        "first_name": "KATHERINE",
        "middle_name": "EMMA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH17801",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC004647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; 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.