Active NPI
Erin Michelle Degeorge, M.A.
- Mental Health Counselor
- St Petersburg, FL
National Provider Identifier
1205204328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20237
- Practice address
- 7901 4TH St N Ste 300
St Petersburg, FL 33702-4399 - Phone
- (727) 238-5742
- NPI assigned
- Sep 4, 2015
- Last updated
- Feb 28, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | MH20237 | FL | Primary |
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
7901 4TH St N Ste 300
St Petersburg, FL 33702-4399
Mailing address
PO Box 322
Elfers, FL 34680-0322
Phone (727) 238-5742
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20237 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709078400000",
"number": "1205204328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 322",
"city": "ELFERS",
"state": "FL",
"postal_code": "346800322",
"telephone_number": "727-238-5742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7901 4TH ST N STE 300",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337024399",
"telephone_number": "727-238-5742"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGEORGE",
"first_name": "ERIN",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-04",
"last_updated": "2024-02-28",
"certification_date": "2024-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH20237",
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"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 Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.