Claire Bazile, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH18015 Issued in FL

Practice address

9725 Shamokin LN
Port Richey, FL 34668-3991

Phone

(727) 564-3759

NPI assigned

Oct 28, 2020

Last updated

Oct 28, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1174123103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9725 SHAMOKIN LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683991",
            "telephone_number": "727-564-3759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9725 SHAMOKIN LN",
            "city": "PORT RICHEY",
            "state": "FL",
            "postal_code": "346683991",
            "telephone_number": "727-564-3759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAZILE",
        "first_name": "CLAIRE",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2020-10-28",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH18015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arlys Barrios Leyva
• Vanessa Batchelder, RBT
• Bay Dermatology and Cosmetic Surgery P a
• Bayada Home Health Care, Inc.
• Bayonet Point Oxygen Services of Florida
• Andre William Benson, M.D.
• Ross Bento, PTA
• Bernard Joseph Bergman III, PHARM D
• Best Care Senior Living at Port Richey LLC
• Best Value Healthcare (Primary Care Associates)

• Mental Health Counselor in Port Richey, FL
• Providers in Port Richey, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2020; 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.