Individual provider Active NPI

Srikant Reddy Kothur, MS, LMHC

  • Mental Health Counselor
  • Tallahassee, FL
National Provider Identifier
1326764465
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH20751 Issued in FL
Practice address
2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone
(850) 228-4725
NPI assigned
Oct 19, 2022
Last updated
Oct 19, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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 MH20751 FL Primary

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 1

  • Sri Kothur Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: No
  • 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
I20240219001211 FL Practitioner - Mental Health Counselor 8628412657 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Apalachee Center IncGroup PAC ID 3577556604, 22 clinicians

Practice addresses (Care Compare)

2634 Capital Cir NE
Tallahassee, FL 32308-4106
Phone (850) 523-3440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MH20751FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Brain Trust Therapy PLLC Mental Health CurrentSince Aug 31, 2026 Accepting new patients
Apalachee Center, Inc. CurrentSince Jan 14, 2024 Accepting new patients
Apalachee Center Inc CurrentSince Jan 14, 2024 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 8509973958 ext. 7345

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
Tallahassee, FL 32308
Phone (850) 523-3261

2634 Capital Cir NE
Bldg C
Tallahassee, FL 32308
Phone (850) 523-3289

2634 Capital Cir NE
Bldg J
Tallahassee, FL 32308
Phone (850) 523-3243

471 W Tennessee St
Tallahassee, FL 32301
Phone (850) 523-3301

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666137600000",
    "number": "1326764465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "712 REID ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323036444",
            "telephone_number": "850-228-4725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2634 CAPITAL CIR NE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084106",
            "telephone_number": "850-228-4725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTHUR",
        "first_name": "SRIKANT",
        "middle_name": "REDDY",
        "credential": "MS, LMHC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH20751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SRI",
            "last_name": "KOTHUR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.