Individual provider Active NPI

Ali Metheney

  • Counselor
  • Lakeland, FL
National Provider Identifier
1235661935
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
1825 Gilmore Ave
Lakeland, FL 33805-3017
Phone
(863) 519-0575
NPI assigned
Mar 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

1825 Gilmore Ave
Lakeland, FL 33805-3017

Mailing address

PO Box 1559
Bartow, FL 33831-1559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021001796 FL Practitioner - Clinical Social Worker 5092135517 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Management Services, Inc. Current Accepting new patients
Baycare Behavioral Health Associates LLC Current Accepting new patients
Baycare Behavioral Health Associates LLC CurrentSince Oct 14, 2020 Accepting new patients
Winter Haven Hospital Inc CurrentSince Oct 14, 2020 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Oct 14, 2020 Accepting new patients
Behavioral Health Management Services, Inc. CurrentSince Oct 14, 2020 Accepting new patients
Baycare Behavioral Health Inc. CurrentSince Oct 14, 2020 Accepting new patients
Baycare Behavioral Health, Inc CurrentSince Oct 14, 2020 Accepting new patients
Baycare Behavioral Health Inc. Current Accepting new patients
Peace River Center for Personal Development Inc PastSince Apr 17, 2022 Accepting new patients
Peace River Center for Personal Development Inc PastSince Feb 13, 1995 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

1106 Druid Rd S
Clearwater, FL 33756
Phone (727) 584-6266

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

7809 Massachusetts Ave
Ste 100
New Prt Rchy, FL 34653
Phone (727) 841-4200

6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611

2727 W Mlk Blvd
Ste 640
Tampa, FL 33607
Phone (813) 842-7582

1501 1st St S
Winter Haven, FL 33880
Phone (813) 738-6689

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

Interoperability endpoints

  • Direct secure messaging: ali.metheneylcsw@direct.mybaycare.org

Organizations & group practices 11

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1235661935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1559",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338311559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 GILMORE AVE",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338053017",
            "telephone_number": "863-519-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METHENEY",
        "first_name": "ALI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.