Active NPI
Theresa Anne Ritz, LMHC
- Mental Health Counselor
- Clearwater, FL
National Provider Identifier
1306268339
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH12276
- 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
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 | 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.