Active NPI
Ramon Maisonet, M.A.
- Mental Health Counselor
- St Pete, FL
National Provider Identifier
1336355684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 21695
- Practice address
- 4024 Central Ave
St Pete, FL 33711-1239 - Phone
- (727) 327-7656
- Fax
- (727) 322-2130
- NPI assigned
- May 15, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | 1789 | PR | |
| Psychologist | 103T00000X | MH21695 | FL | |
| Mental Health Counselor | 101YM0800X | 21695 | FL | Primary |
Addresses
Primary practice location
4024 Central Ave
St Pete, FL 33711-1239
Mailing address
7349 Ulmerton Rd Lot 247
Largo, FL 33771-4804
Phone (787) 607-6846
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| M253720602590 | Other | FL | DRIVERS LICENSE |
| 1376 | Other | PR | APS |
| 5197 | Other | PR | INTERNATIONAL MED CARD |
Other names 1
- Mr. Ramon Maisonet Gonzalez
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 |
|---|---|---|---|---|
| I20231213000991 | FL | Practitioner - Mental Health Counselor | 2668821810 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Suncoast Center, Inc.
Practice addresses (Care Compare)
4010 Central Ave
St Petersburg, FL 33711-1239
Phone 72732776564169
4024 Central Ave
St Petersburg, FL 33711-1239
Phone 72732776564169
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH21695 | FL | MD | Psychologist |
| 1789 | PR | MD | Psychologist |
| 21695 | FL | MD | Homemaker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Suncoast Center, Inc. | Current | Accepting new patients |
Locations
4024 Central Ave
St Petersburg, FL 33711
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- St Petersburg, FL
- NPI 1659371763
FL
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1336355684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7349 ULMERTON RD LOT 247",
"city": "LARGO",
"state": "FL",
"postal_code": "337714804",
"telephone_number": "787-607-6846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4024 CENTRAL AVE",
"city": "ST PETE",
"state": "FL",
"postal_code": "337111239",
"telephone_number": "727-327-7656",
"fax_number": "727-322-2130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAISONET",
"first_name": "RAMON",
"name_prefix": "Mr.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "PR",
"license": "1789",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "FL",
"license": "MH21695",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "21695",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "M253720602590",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "APS",
"identifier": "1376",
"state": "PR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERNATIONAL MED CARD",
"identifier": "5197",
"state": "PR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RAMON",
"last_name": "MAISONET GONZALEZ",
"prefix": "MR.",
"credential": "LMHC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in St Pete, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.