Elizabeth Shomberg Marcinski, IMH

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH21549 Issued in FL

Practice address

2963 Gulf to Bay Blvd Ste 320
Clearwater, FL 33759-4286

Phone

(727) 367-2273

NPI assigned

Nov 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Clearpath Health LLC

  • Community/Behavioral Health Agency
  • Clearwater, FL
  • NPI 1104406362

  Mental Health

  Medicare reassignment NPD
• Suncoast Center, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1659371763
  Medicare reassignment NPD
• Caring Community Counseling LLC

  • Community/Behavioral Health Agency
  • St Petersburg, FL
  • NPI 1477988343
  NPD
• Caring Community Counseling

  • Mental Health Counselor
  • St Petersburg, FL
  • NPI 1790191781
  NPD (past)

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685664000000",
    "number": "1174168975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 MILTON ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564282",
            "telephone_number": "727-475-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 GULF TO BAY BLVD STE 320",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594286",
            "telephone_number": "727-367-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARCINSKI",
        "first_name": "ELIZABETH",
        "middle_name": "SHOMBERG",
        "credential": "IMH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-15",
        "last_updated": "2023-06-02",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "@caringcounseling.org",
            "affiliation": "N",
            "endpointDescription": "Caring Community Counseling",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3840 5th Ave N",
            "city": "St Petersburg",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337137521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica Mapes, PTA
• John G Marakas
• Susan L Marcelli, MD
• Daryl Marcelo
• Judith A. Marchwinski, P.T.
• Marcos G Joppert MD (Florida Cancer Specialists Countryside)
• Anthony L Marcotte, DO
• Margolin MD PA
• Jerry Alan Margolin, M.D.
• Maria's Adult Day Care Center

• Mental Health Counselor in Clearwater, FL
• Providers in Clearwater, 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 Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.