Active NPI
Srikant Reddy Kothur, MS, LMHC
- Mental Health Counselor
- Tallahassee, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH20751
- Practice address
- 2634 Capital Cir NE
Tallahassee, FL 32308-4106 - Phone
- (850) 228-4725
- NPI assigned
- Oct 19, 2022
- Last updated
- Oct 19, 2022
- Sex
- Male
- 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 | 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
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH20751 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brain Trust Therapy PLLC | Mental Health | Current | Accepting 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 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.
-
- Community/Behavioral Health Agency
- Tallahassee, FL
- NPI 1548360993
-
- Mental Health Counselor
- Tallahassee, FL
- NPI 1245140508
-
- Community/Behavioral Health Agency
- Apalachicola, FL
- NPI 1922104017
-
- Community/Behavioral Health Agency
- Monticello, FL
- NPI 1376649632
-
- Community/Behavioral Health Agency
- Madison, FL
- NPI 1457457962
-
- Community/Behavioral Health Agency
- Bristol, FL
- NPI 1508962796
-
- Community/Behavioral Health Agency
- Perry, FL
- NPI 1568569937
-
- Community/Behavioral Health Agency
- Crawfordville, FL
- NPI 1982701363
-
- Community/Behavioral Health Agency
- Quincy, FL
- NPI 1225134513
-
- Community/Behavioral Health Agency
- Tallahassee, FL
- NPI 1255102109
-
- Community/Behavioral Health Agency
- Tallahassee, FL
- NPI 1497325070
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.