Organization Active NPI

Soulpath Counseling and Therapeutic Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Tampa, FL
National Provider Identifier
1235717364
Registry record updated Mar 30, 2021
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
SOULPATH COUNSELING AND THERAPEUTIC SERVICES LLC
Practice address
7402 N 56TH St Unit 103
Tampa, FL 33617-7733
Phone
(813) 856-8770
NPI assigned
Mar 30, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

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

Authorized official

Name
Tami Robinson, LCSWNPI 1235722703
Title
Director
Phone
(813) 856-8770

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

7402 N 56TH St Unit 103
Tampa, FL 33617-7733

Mailing address

7402 N 56TH St Unit 103
Tampa, FL 33617-7733
Phone (813) 856-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260219004737 TX Part B Supplier - Clinic/Group Practice 7810385945 Receives reassigned benefits from 1 practitioner
Practice locations: Houston, TX

National Provider Directory

National Provider Directory

Locations

7402 N 56th St
Unit 103
Tampa, FL 33617
Phone (813) 856-8770

440 Benmar Dr
Ste 3035
Houston, TX 77060
Phone (281) 407-2725

Practitioners & affiliated clinicians

Practitioners 2

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": "1617062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617062400000",
    "number": "1235717364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST UNIT 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177733",
            "telephone_number": "813-856-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7402 N 56TH ST UNIT 103",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336177733",
            "telephone_number": "813-856-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOULPATH COUNSELING AND THERAPEUTIC SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "TAMI",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "813-856-8770",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "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 Mar 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.