Active NPI
Serra Palantekin
- Counselor
- Tampa, FL
National Provider Identifier
1356094882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- MH18918
- Practice address
- 2806 N Armenia Ave
Tampa, FL 33607 - Phone
- (813) 964-1964
- Fax
- (813) 868-3996
- NPI assigned
- Feb 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MH18918 | FL | |
| Counselor | 101Y00000X | MH18918 | FL | Primary |
Addresses
Primary practice location
2806 N Armenia Ave
Tampa, FL 33607
Mailing address
14901 Crisis Center Plaza
Tampa, FL 33613
Phone (813) 964-1964
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18152200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MH18918 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644278400000",
"number": "1356094882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 CRISIS CENTER PLAZA",
"city": "TAMPA",
"state": "FL",
"postal_code": "33613",
"telephone_number": "813-964-1964",
"fax_number": "813-868-3996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2806 N ARMENIA AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33607",
"telephone_number": "813-964-1964",
"fax_number": "813-868-3996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANTEKIN",
"first_name": "SERRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18918",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "FL",
"license": "MH18918",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18152200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.