NPIMap

Organization Active NPI

Clearlane Behavioral Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1235066945
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CLEARLANE BEHAVIORAL HEALTH LLC
Practice address
2780 E Fowler Ave # 601
Tampa, FL 33612-6297
Phone
(813) 444-2276
Fax
(614) 412-2522
NPI assigned
May 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Courtney Wilder-Whiting, APRN, FNP-C, PMHNP-CNPI 1346600558
Title
Nurse Practitioner/Owner
Phone
(813) 444-2276

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary
Primary Care Clinic/Center 261QP2300X

Addresses

Primary practice location

2780 E Fowler Ave # 601
Tampa, FL 33612-6297

Mailing address

2780 E Fowler Ave # 601
Tampa, FL 33612-6297
Phone (813) 444-2276

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1778025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1235066945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-444-2276",
            "fax_number": "614-412-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 E FOWLER AVE # 601",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126297",
            "telephone_number": "813-444-2276",
            "fax_number": "614-412-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARLANE BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-06",
        "last_updated": "2026-05-06",
        "certification_date": "2026-04-29",
        "status": "A",
        "authorized_official_last_name": "WILDER-WHITING",
        "authorized_official_first_name": "COURTNEY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER/OWNER",
        "authorized_official_telephone_number": "813-444-2276",
        "authorized_official_credential": "APRN, FNP-C, PMHNP-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 6, 2026; 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.