Srikant Reddy Kothur, MS, LMHC
Individual provider Active NPI Mental Health Counselor · Tallahassee, FL
NPI 1326764465 · NPPES record last updated Oct 19, 2022
Key facts
- NPI
- 1326764465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- MH20751 (FL)
- Practice address
- 2634 Capital Cir NE
Tallahassee, FL 32308-4106 - Phone
- (850) 228-4725
- NPI assigned
- Oct 19, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Mental Health Counselor
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Apalachee Center Inc
Practice addresses (Care Compare)
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3440
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240219001211 | FL | Practitioner - Mental Health Counselor | 8628412657 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH20751 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apalachee Center Inc | Current |
Accepting new patients | |
| Apalachee Center, Inc. | Current |
Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center, Inc. | Past | Accepting new patients | |
| Apalachee Center, Inc. | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients | |
| Apalachee Center, Inc. | Past | Accepting new patients | |
| Apalachee Center Inc | Past | Accepting new patients |
Locations
159 12th St
Apalachicola, FL 32320
Phone (850) 653-9744
13888 NW County Road 12
Bristol, FL 32321
Phone (850) 643-2232
43 Oak St
Crawfordville, FL 32327
Phone (850) 926-5900
225 SW Sumatra Ave
Madison, FL 32340
Phone (850) 363-0906
1996 S Jefferson Hwy
Monticello, FL 32344
Phone (850) 997-3958
1421 S Dixie Hwy
Perry, FL 32348
Phone (850) 584-5613
79 Lasalle Path
Quincy, FL 32351
Phone (850) 875-2422
2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243
2634 Capital Cir NE
Tallahassee, FL 32308
Phone (850) 523-3261
471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301
2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3440
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH20751 | FL | Yes |
Addresses
Primary practice location
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Mailing address
712 Reid St
Tallahassee, FL 32303-6444
Phone (850) 228-4725
Other names
- Sri Kothur
Other providers in Tallahassee, FL
- Kenneth Allen Korn
- Ashley Koroshec
- Cindy Korte
- Krista Koscik
- Michelle Noel Kostic
- Edward A Kotz Jr.
- Ablavi Akpene Kouta
- Sydney Nicole Kovacs
- Cynthia Cristina Kovary
- Yumi Kovic
All providers in Tallahassee, FL · Mental Health Counselor in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.