Individual provider Active NPI

Theresa Anne Ritz, LMHC

  • Mental Health Counselor
  • Clearwater, FL
National Provider Identifier
1306268339
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH12276 Issued in FL
Practice address
1260 S Martin Luther King Jr Ave Ste D
Clearwater, FL 33756
Phone
(727) 504-3505
Fax
(888) 965-5135
NPI assigned
Jan 10, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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 MH12276 FL Primary

Addresses

Primary practice location

1260 S Martin Luther King Jr Ave Ste D
Clearwater, FL 33756

Mailing address

1260 S Martin Luther King Jr Ave Ste D
Clearwater, FL 33756-4172
Phone (727) 504-3505

Other practice location 1

3491 Gandy Blvd N
Suite 201
Pinellas Park, FL 33781-2658
Phone (727) 547-0607 ext. 133

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
I20241112001756 FL Practitioner - Mental Health Counselor 2961936026 Practice locations: Clearwater, FL

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

26133 US Hwy 19 N
Suite 306
Clearwater, FL 33763-2017
Phone (727) 504-3505

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1389312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1306268339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337564172",
            "telephone_number": "727-504-3505",
            "fax_number": "888-965-5135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 S MARTIN LUTHER KING JR AVE STE D",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "33756",
            "telephone_number": "727-504-3505",
            "fax_number": "888-965-5135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3491 Gandy Blvd N",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Pinellas Park",
            "state": "FL",
            "postal_code": "337812658",
            "country_code": "US",
            "telephone_number": "727-547-0607 x133",
            "fax_number": "727-456-6127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RITZ",
        "first_name": "THERESA",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-10",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH12276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.