Deborah A Clements, LMHC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH 10350 Issued in FL

Practice address

275 4TH St N
St Petersburg, FL 33701-3205

Phone

(813) 625-6055

NPI assigned

Oct 13, 2010

Last updated

Aug 25, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Deborah a Clements LMHC PA

  • Community/Behavioral Health Agency
  • St Petersburg, FL
  • NPI 1811373780
  NPD (past) Authorized official

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

{
    "created_epoch": "1286928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1275843153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 76423",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337346423",
            "telephone_number": "813-625-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 4TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337013205",
            "telephone_number": "813-625-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEMENTS",
        "first_name": "DEBORAH",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-13",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 10350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "59-2092717",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clearview Guidance LLC
• Douglas Philip Clearwater, D.C.
• Veronica Lucie Clement, PH.D.
• Monica M. Clemente-Ortiz, MD
• Clementine Speech Therapy LLC
• Chad Clemons, PHARMD
• Kende N Clemons, PHARM.D.
• David Clendenin
• Christian Michael Cleveland-Peck, CRNA
• Russell J Clifford, P.T.

• Mental Health Counselor in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2014; 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.