NPIMap

Organization Active NPI

Mantra Counseling, LLC

  • Mental Health Counselor
  • Tampa, FL
National Provider Identifier
1285977520
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH 8831 Issued in FL
Legal business name
MANTRA COUNSELING, LLC
Practice address
4230 South Macdill Ave
Suite 209
Tampa, FL 33611-2912
Phone
(813) 808-1956
Fax
(888) 977-1272
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Authorized official

Name
Amy Lanier Datla, LMHC,LMFT,CAP,DCC,NCNPI 1306002019
Title
Owner
Phone
(352) 262-2163

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
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 8831 FL Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT 2809 FL

Addresses

Primary practice location

4230 South Macdill Ave
Suite 209
Tampa, FL 33611-2912

Mailing address

4230 South Macdill Ave
Suite 209
Tampa, FL 33611-2912
Phone (813) 808-1956

Other names 1

  • Amy Datla Former legal business name

National Provider Directory

National Provider Directory

Locations

4230 S Macdill Ave
Ste 209
Tampa, FL 33611
Phone (813) 808-1956

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": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477872000000",
    "number": "1285977520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 SOUTH MACDILL AVE",
            "address_2": "SUITE 209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112912",
            "telephone_number": "813-808-1956",
            "fax_number": "888-977-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4230 SOUTH MACDILL AVE",
            "address_2": "SUITE 209",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336112912",
            "telephone_number": "813-808-1956",
            "fax_number": "888-977-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANTRA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2016-10-31",
        "status": "A",
        "authorized_official_last_name": "DATLA",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LANIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-262-2163",
        "authorized_official_credential": "LMHC,LMFT,CAP,DCC,NC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 8831",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Datla",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Oct 31, 2016; 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.