Individual provider Active NPI

Ramon Maisonet, M.A.

  • Mental Health Counselor
  • St Pete, FL
National Provider Identifier
1336355684
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
21695 Issued in FL
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

Updated by the provider on May 3, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
M253720602590OtherFLDRIVERS LICENSE
1376OtherPRAPS
5197OtherPRINTERNATIONAL MED CARD

Other names 1

  • Mr. Ramon Maisonet Gonzalez Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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. 20 clinicians

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

LicenseStateTypeSpecialty
MH21695FLMDPsychologist
1789PRMDPsychologist
21695FLMDHomemaker

Practice roles

OrganizationSpecialtyStatusNew patients
Suncoast Center, Inc. CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.