Organization Active NPI

Drbev Mental Health Counseling LLC

  • Mental Health Counselor
  • St Petersburg, FL
National Provider Identifier
1316499007
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH8038 Issued in FL
Legal business name
DRBEV MENTAL HEALTH COUNSELING LLC
Practice address
9800 4TH St N Ste 200
St Petersburg, FL 33702-2462
Phone
(727) 201-5460
Fax
(727) 214-1977
NPI assigned
Oct 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Authorized official

Name
Dr. Beverly Jackson, LMHC
Title
Licensed Mental Health Counselor
Phone
(727) 201-5460

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X MH8038 FL Primary

Addresses

Primary practice location

9800 4TH St N Ste 200
St Petersburg, FL 33702-2462

Mailing address

9800 4TH St N Ste 200
St Petersburg, FL 33702-2462
Phone (727) 201-5460

Other identifiers 1

IdentifierTypeStateIssuer
009977500MedicaidFL

National Provider Directory

National Provider Directory
Tax ID family
Beverly Jackson2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477526400000",
    "number": "1316499007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022462",
            "telephone_number": "727-201-5460",
            "fax_number": "727-214-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 4TH ST N STE 200",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337022462",
            "telephone_number": "727-201-5460",
            "fax_number": "727-214-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRBEV MENTAL HEALTH COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "727-201-5460",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH8038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009977500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.