Individual provider Active NPI

Giovanni Boromei, LMHC;CAP

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1174689558
Registry record updated Dec 5, 2009
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128b(4) exclusion effective Feb 20, 2012.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3957 Issued in FL
Practice address
3601 W Azeele St
Tampa, FL 33609-2805
Phone
(813) 875-1000
NPI assigned
Dec 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 5, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1638 FL
Mental Health Counselor 101YM0800X 3957 FL Primary

Addresses

Primary practice location

3601 W Azeele St
Tampa, FL 33609-2805

Mailing address

3601 W Azeele St
Tampa, FL 33609-2805
Phone (813) 875-1000

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
1638FLMDAddiction (Substance Use Disorder) Counselor
3957FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
George M Northrup M D P a Past Accepting new patients
Susan V Sims, LLC Mental Health Past Accepting new patients

Organizations & group practices 2

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": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259971200000",
    "number": "1174689558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092805",
            "telephone_number": "813-875-1000",
            "fax_number": "813-350-9544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W AZEELE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092805",
            "telephone_number": "813-875-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOROMEI",
        "first_name": "GIOVANNI",
        "name_prefix": "Mr.",
        "credential": "LMHC;CAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-29",
        "last_updated": "2009-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1638",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "3957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.