Active NPI
Abigail Everingham, LMHC
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1306084090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH 9743
- Practice address
- 14041 Icot Blvd
Clearwater, FL 33760-3702 - Phone
- (727) 479-1800
- Fax
- (727) 479-1248
- NPI assigned
- Feb 3, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH 9743 | FL | Primary |
Addresses
Primary practice location
14041 Icot Blvd
Clearwater, FL 33760-3702
Mailing address
14041 Icot Blvd
Clearwater, FL 33760-3702
Phone (727) 479-1800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH 9743 | Other | FL | ST OF FL DEPT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH 9743 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233619200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233619200000",
"number": "1306084090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14041 ICOT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603702",
"telephone_number": "727-479-1800",
"fax_number": "727-479-1248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14041 ICOT BLVD",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603702",
"telephone_number": "727-479-1800",
"fax_number": "727-479-1248"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERINGHAM",
"first_name": "ABIGAIL",
"credential": "LMHC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-03",
"last_updated": "2009-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH 9743",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ST OF FL DEPT OF HEALTH",
"identifier": "MH 9743",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.