Organization Active NPI

Maederer Counseling LLC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1275341067
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MAEDERER COUNSELING LLC
Practice address
2020 30TH Ave N
St Petersburg, FL 33713-4163
Phone
(727) 434-9887
NPI assigned
Dec 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Authorized official

Name
Samantha Marlowe Maederer, LMHCNPI 1790213585
Title
Owner
Phone
(727) 434-9887

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2020 30TH Ave N
St Petersburg, FL 33713-4163

Mailing address

2020 30TH Ave N
St Petersburg, FL 33713-4163
Phone (727) 434-9887

Other practice location 1

675 30th Ave N Ste 101
St Petersburg, FL 33704-2158
Phone (727) 434-9887

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": "1735084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744243200000",
    "number": "1275341067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 30TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337134163",
            "telephone_number": "727-434-9887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 30TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337134163",
            "telephone_number": "727-434-9887"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "675 30th Ave N Ste 101",
            "address_purpose": "LOCATION",
            "city": "St Petersburg",
            "state": "FL",
            "postal_code": "337042158",
            "country_code": "US",
            "telephone_number": "727-434-9887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MAEDERER COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-25",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A",
        "authorized_official_last_name": "MAEDERER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "MARLOWE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-434-9887",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.