Individual provider Active NPI

Nathalie Inelus

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1285063222
Registry record updated Nov 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
12042 Issued in FL
Practice address
5707 N 22ND St
Mental Health Care, Inc.
Tampa, FL 33610-4350
Phone
(813) 239-8069
Fax
(813) 239-8514
NPI assigned
Nov 8, 2013
Last updated
Nov 8, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2013

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 12042 FL Primary

Addresses

Primary practice location

5707 N 22ND St
Mental Health Care, Inc.
Tampa, FL 33610-4350

Mailing address

5707 N 22ND St
Mental Health Care, Inc.
Tampa, FL 33610-4350
Phone (813) 239-8069

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
I20240425002709 FL Practitioner - Mental Health Counselor 1557701489 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12042FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Healthcare Inc Current Accepting new patients
Ibis Healthcare Inc CurrentSince Mar 24, 2024 Accepting new patients

Locations

5707 N 22nd St
Tampa, FL 33610
Phone (813) 272-2244

2208 E Henry Ave
Tampa, FL 33610
Phone (813) 239-2882

2212 E Henry Ave
Tampa, FL 33610
Phone (386) 336-0793

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1383868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383868800000",
    "number": "1285063222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "address_2": "MENTAL HEALTH CARE, INC.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-239-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5707 N 22ND ST",
            "address_2": "MENTAL HEALTH CARE, INC.",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336104350",
            "telephone_number": "813-239-8069",
            "fax_number": "813-239-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INELUS",
        "first_name": "NATHALIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-08",
        "last_updated": "2013-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "12042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.