Individual provider Active NPI

Christina Ann Rooney, LMHC

  • Mental Health Counselor
  • Port Charlotte, FL
National Provider Identifier
1265633721
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8067 Issued in FL
Practice address
3782 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8308
Phone
(941) 629-7855
Fax
(941) 629-9589
NPI assigned
May 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MH8067 FL Primary

Addresses

Primary practice location

3782 Tamiami TRL
Suite a
Port Charlotte, FL 33952-8308

Mailing address

PO Box 496080
Port Charlotte, FL 33949-6080
Phone (941) 629-7855

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
I20250604002513 FL Practitioner - Mental Health Counselor 5092224683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

590 Tamiami TRL
Unit 2
Port Charlotte, FL 33953-2109
Phone (941) 787-7704

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH8067FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Rooney Counseling and Collaboration Services Mental Health CurrentSince Mar 22, 2025 Accepting new patients
Beacon Clinic, Inc. Mental Health Past Accepting new patients
CGR Beacon Clinic, PA PastSince Jul 10, 2006 Accepting new patients

Locations

590 Tamiami Trl
Unit 2
Port Charlotte, FL 33953
Phone (941) 787-7704

Organizations & group practices 3

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": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1265633721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 496080",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339496080",
            "telephone_number": "941-629-7855",
            "fax_number": "941-629-9589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3782 TAMIAMI TRL",
            "address_2": "SUITE A",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339528308",
            "telephone_number": "941-629-7855",
            "fax_number": "941-629-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROONEY",
        "first_name": "CHRISTINA",
        "middle_name": "ANN",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Charlotte, FL

Sources for this page

Verify at the official NPI Registry.