Individual provider Active NPI

Deborah K Lewis, LCSW

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1235194564
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH3245 Issued in FL
Practice address
227 70TH St S
St Petersburg, FL 33707-1220
Phone
(727) 388-1661
Fax
(727) 800-2333
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 1075 FL
Mental Health Counselor 101YM0800X MH3245 FL Primary

Addresses

Primary practice location

227 70TH St S
St Petersburg, FL 33707-1220

Mailing address

PO Box 1278
Lincolnton, NC 28093-1278
Phone (727) 388-1661

Other practice location 1

6125 54th Ave N
Kenneth City, FL 33709-1830
Phone (727) 388-1661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Sep 30, 2025 through Sep 30, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1075FLMDAddiction (Substance Use Disorder) Counselor
MH3245FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Psychiatry and Psychotherapy Associates Corp PastSince Jan 14, 2003 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1235194564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931278",
            "telephone_number": "727-388-1661",
            "fax_number": "727-800-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 70TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337071220",
            "telephone_number": "727-388-1661",
            "fax_number": "727-800-2333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6125 54th Ave N",
            "address_purpose": "LOCATION",
            "city": "Kenneth City",
            "state": "FL",
            "postal_code": "337091830",
            "country_code": "US",
            "telephone_number": "727-388-1661",
            "fax_number": "727-800-2333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "DEBORAH",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "1075",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH3245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.