Organization Active NPI

Dolores T Puterbaugh, LMHC PA

  • Marriage & Family Therapist
  • Largo, FL
National Provider Identifier
1356390231
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MT 2164 Issued in FL
Legal business name
DOLORES T PUTERBAUGH, LMHC PA
Practice address
801 W Bay Dr
Suite 436
Largo, FL 33770-3269
Phone
(727) 559-0863
Fax
(727) 393-9958
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Dr. Dolores T Puterbaugh, PHD
Title
President
Phone
(727) 559-0863

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X MH 5228 FL
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MT 2164 FL Primary

Addresses

Primary practice location

801 W Bay Dr
Suite 436
Largo, FL 33770-3269

Mailing address

801 W Bay Dr
Suite 436
Largo, FL 33770-3269
Phone (727) 559-0863

Other identifiers 1

IdentifierTypeStateIssuer
Z9797OtherFLBLUE CROSS/BLUE SHIELD ID

National Provider Directory

National Provider Directory

Locations

801 West Bay Dr
Ste 436
Largo, FL 33770
Phone (727) 559-0863

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1356390231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 436",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-559-0863",
            "fax_number": "727-393-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 436",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-559-0863",
            "fax_number": "727-393-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOLORES T PUTERBAUGH, LMHC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "PUTERBAUGH",
        "authorized_official_first_name": "DOLORES",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-559-0863",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH 5228",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "FL",
            "license": "MT 2164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "Z9797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.