NPIMap

Organization Active NPI

Hyde Park Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Tampa, FL
National Provider Identifier
1174736995
Registry record updated May 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
1329AD475701 Issued in FL
Legal business name
HYDE PARK COUNSELING CENTER
Practice address
207 W Verne St
Tampa, FL 33606-2332
Phone
(813) 258-4605
Fax
(813) 258-4705
NPI assigned
May 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2008

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

Authorized official

Name
Mrs. Lorena Fern Hill, LMHC
Title
Ceo
Phone
(407) 557-4123

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 1329AD475701 FL
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Multi-Specialty Clinic/Center 261QM1300X FL
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Substance Abuse Rehabilitation Facility 324500000X 1329AD475701 FL Primary

Addresses

Primary practice location

207 W Verne St
Tampa, FL 33606-2332

Mailing address

207 W Verne St
Tampa, FL 33606-2332
Phone (813) 258-4605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211846400000",
    "number": "1174736995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W VERNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062332",
            "telephone_number": "813-258-4605",
            "fax_number": "813-258-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 W VERNE ST",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336062332",
            "telephone_number": "813-258-4605",
            "fax_number": "813-258-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HYDE PARK COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2008-05-27",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "LORENA",
        "authorized_official_middle_name": "FERN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "407-557-4123",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1329AD475701",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "FL",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "1329AD475701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2008; 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.