Individual provider Active NPI

Robert Lynn Neri, LMHC, CAP

  • Addiction (Substance Use Disorder) Counselor
  • St Petersburg, FL
National Provider Identifier
1194164939
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
MH 1048 Issued in FL
Practice address
5999 Central Ave Ste 401
St Petersburg, FL 33710
Phone
(727) 490-6767
Fax
(727) 825-0573
NPI assigned
Jun 14, 2013
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH 1048 FL
Addiction (Substance Use Disorder) Counselor 101YA0400X MH 1048 FL Primary

Addresses

Primary practice location

5999 Central Ave Ste 401
St Petersburg, FL 33710

Mailing address

PO Box 12019
St Petersburg, FL 33733-2019
Phone (727) 490-6767

Other practice location 1

100 2nd Ave S
Suite 901-S
St Petersburg, FL 33701-4360
Phone (727) 490-6767 ext. 30105

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

State licenses

LicenseStateTypeSpecialty
MH 1048FLMDMental Health Counselor

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1194164939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12019",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337332019",
            "telephone_number": "727-490-6767",
            "fax_number": "727-825-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5999 CENTRAL AVE STE 401",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33710",
            "telephone_number": "727-490-6767",
            "fax_number": "727-825-0573"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 2nd Ave S",
            "address_2": "Suite 901-S",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337014360",
            "country_code": "US",
            "telephone_number": "727-490-6767 x30105",
            "fax_number": "727-825-0573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NERI",
        "first_name": "ROBERT",
        "middle_name": "LYNN",
        "name_prefix": "Mr.",
        "credential": "LMHC, CAP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 1048",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "MH 1048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2019; 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.