Active NPI
Robert Lynn Neri, LMHC, CAP
- Addiction (Substance Use Disorder) Counselor
- St Petersburg, FL
National Provider Identifier
1194164939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- MH 1048
- 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, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| MH 1048 | FL | MD | Mental 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1124161062
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Atlanta, GA
- NPI 1194942649
-
- Substance Abuse Rehabilitation Facility
- Ashcamp, KY
- NPI 1821218694
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.