Individual provider Active NPI

Natalie Marie Cuddy

  • Mental Health Counselor
  • Pinellas Park, FL
National Provider Identifier
1154453975
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3941 68TH Ave N
Pinellas Park, FL 33781-6136
Phone
(727) 831-0483
NPI assigned
Mar 9, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X SW8436 FL
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3941 68TH Ave N
Pinellas Park, FL 33781-6136

Mailing address

3941 68TH Ave N
Pinellas Park, FL 33781-6136
Phone (727) 433-6343

Other practice location 1

773 39th Ave N
St Petersburg, FL 33703-4625
Phone (727) 433-6343

Other practice location 2

4425 Park Blvd
Pinellas Park, FL 33781-3540
Phone (727) 520-7374 ext. 0000

Other identifiers 2

IdentifierTypeStateIssuer
767209800MedicaidFL
023772400MedicaidFL

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1154453975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "727-433-6343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3941 68TH AVE N",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337816136",
            "telephone_number": "727-831-0483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "773 39th Ave N",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337034625",
            "country_code": "US",
            "telephone_number": "727-433-6343",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4425 Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337813540",
            "country_code": "US",
            "telephone_number": "727-520-7374 x0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUDDY",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW8436",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767209800",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023772400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

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